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Which of the following needs takes priority in planning a renal diet?


A) adjustment of protein
B) adjustment of simple carbohydrate
C) adjustment of fat
D) adjustment of fiber

E) A) and C)
F) C) and D)

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In kidney disease, the kidneys cannot excrete _____ in the urine.


A) ammonia
B) iron
C) potassium
D) urea

E) A) and B)
F) A) and C)

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compared to standard formulas, enteral formulas suitable for chronic kidney disease have all of the following characteristics except:


A) they are more calorically dense.
B) they are lower in protein.
C) they are lower in electrolytes.
D) they contain more water.

E) A) and B)
F) B) and C)

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Likely potential causes for the anorexia associated with chronic kidney disease include all of the following except:


A) hormonal disturbances.
B) infection.
C) restrictive diets.
D) medications.

E) None of the above
F) B) and C)

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Which of the following dietary components is controlled in nephrotic syndrome?


A) sodium
B) protein
C) carbohydrate
D) calcium

E) A) and B)
F) A) and C)

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A glomerular filtration rate < 29 indicates kidney failure and the need for dialysis.

A) True
B) False

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Foods high in oxalate include:


A) spinach.
B) milk.
C) bread.
D) apples.

E) A) and C)
F) A) and B)

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Which of the following foods is high in phosphorus?


A) cheese
B) oatmeal
C) carrots
D) broccoli

E) A) and C)
F) None of the above

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Dialysis reduces all of the following symptoms except:


A) uremia.
B) edema.
C) hypertension.
D) anemia.

E) None of the above
F) C) and D)

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In patients with acute renal failure, all of the following may be restricted except:


A) fluids.
B) potassium.
C) sodium.
D) carbohydrate.

E) A) and B)
F) A) and C)

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effects of immunosuppressive drug therapy following a kidney transplant may include all of the following except:


A) glucose intolerance.
B) fluid retention.
C) malabsorption of nutrients.
D) foodborne infection.

E) B) and C)
F) A) and D)

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Hypercalciuria can result from all of the following except:


A) excessive calcium absorption.
B) impaired calcium reabsorption.
C) elevated serum levels of parathyroid hormone.
D) impaired absorption of vitamin C.

E) A) and D)
F) C) and D)

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Case Study Refinery Worker with History of Kidney Stones: Steve Forbes is a 52-year-old refinery worker who wrecked his motorcycle on the way to work one morning.He was taken to the emergency room with multiple broken bones, and a CT scan was performed to rule out internal injuries.Incidentally, the results of the CT scan showed that Mr.Forbes had two large stones in his right kidney.After Mr.Forbes's broken bones healed, he underwent surgery to have the kidney stones removed.An analysis of the stones determined that they were calcium oxalate stones.Two years later, Mr.Forbes experienced severe back pain, nausea, and the inability to urinate.He returned to the emergency room for treatment. -What are the possible causes of Mr.Forbes's calcium oxalate stone?

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Elevated urinary cal...

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patient with renal disease is restricted to 2 liters of water per day and complains of thirst.The nurse offers the following suggestion for controlling thirst:


A) "Gargle with refrigerated mouthwash."
B) "Suck on ice chips throughout the day."
C) "Consume more melons and other fruits high in water."
D) "Use popsicles to control thirst."

E) All of the above
F) A) and D)

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