Question

A 64-year-old male patient who has had progressive chronic kidney disease (CKD) for several years has just begun regular hemodialysis. Which information about diet will the nurse include in patient teaching?

1) Increased calories are needed because glucose is lost during hemodialysis.
2) Unlimited fluids are allowed because retained fluid is removed during dialysis.
3) More protein is allowed because urea and creatinine are removed by dialysis.
4) Dietary potassium is not restricted because the level is normalized by dialysis.

Answer 1

The nurse will provide patient teaching regarding diet for a patient undergoing regular hemodialysis, including the need for increased calories, fluid restriction, allowance of more protein, and dietary potassium restriction.

Step-by-step explanation:

The nurse will include the following information about diet in patient teaching:

1. Increased calories are needed because glucose is lost during hemodialysis. Hemodialysis can result in the loss of glucose, so patients need to increase their calorie intake to make up for this loss.
2. Fluids are restricted, not unlimited, because retained fluid is removed during dialysis. Hemodialysis removes excess fluid from the body, so patients are typically advised to restrict their fluid intake to prevent fluid overload.
3. More protein is allowed because urea and creatinine are removed by dialysis. Hemodialysis helps remove waste products like urea and creatinine, so patients are usually permitted to consume more protein to meet their nutritional needs.
4. Dietary potassium is restricted because the level is not normalized by dialysis. Hemodialysis does not effectively lower potassium levels, so patients are typically advised to limit their intake of high-potassium foods.