Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Genitourinary

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John, 15 years old, developed acute glomerulonephritis after a bout of complicated upper respiratory infection. The nurse is planning to teach about dietary restrictions. Which of the following dietary changes should be included in the plan?
  1. Limit fluid intake to 500ml per day
  2. Restrict protein intake by limiting meats and other high-protein foods
  3. Increase intake of high-fiber foods, such as bran cereal
  4. Increase intake of potassium-rich foods such as bananas or cantaloupe
Explanation
Answer - B - A client with glomerulonephritis should eat a diet that is high in calories, but low in protein to inhibit protein catabolism and allow the kidneys to rest by diet (since they have fewer nitrogenous wastes to clear). It is important to protect the kidneys while they are recovering their function. The other responses are incorrect.
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