The oliguric phase of acute renal failure is treated with all of the following except:
  1. 20-40 mEq sodium per day
  2. Protein intake of less than 0.6 mg/kg per day
  3. Fluid restriction of less than 500 ml per day
  4. 50-60 kcal/kg body weight per day
Explanation
Answer: C - The oliguric phase (reduced urine output) of acute renal failure is treated with 20-40 mEq of sodium, protein intake of less than 0.6 mg/kg, and 50-60 kcal/kg per day. Sodium needs are based on edema and urinary output, protein intake is reduced until glomerular filtration returns to normal, and calorie needs are high to promote healing and positive nitrogen balance. Fluid needs are based on losses from diarrhea, vomiting, and urine, plus 500 ml.
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