Final answer:
The nurse should advise the client with end-stage kidney disease to maintain a low-protein diet to help manage kidney function, while avoiding increases in potassium-rich foods due to the kidneys' decreased ability to manage potassium levels. Fluid intake instructions should be individualized and decreases in urine output should be reported to a healthcare provider immediately.
Step-by-step explanation:
For a client with end-stage kidney disease awaiting a kidney transplant, the nurse should recommend maintaining a low-protein diet. This is because a low-protein diet helps preserve remaining kidney function by reducing the metabolic load on the kidneys. Consuming less protein decreases the amount of nitrogenous waste the kidneys need to filter, which may help manage symptoms and possibly slow the progression of kidney disease.
It is also important for individuals with kidney disease to avoid high-potassium foods, as their kidneys may not be able to properly regulate potassium levels, which can lead to dangerous heart rhythms. Therefore, increasing potassium-rich foods in the diet would not be recommended.
In terms of fluid intake, while some individuals with kidney disease may need to limit fluids to prevent fluid overload, this advice is highly individualized based on the patient's urine output, existing fluid levels, and dialysis schedule. Furthermore, a decrease in urine output could be an important sign of worsening kidney function and should be reported to the healthcare provider immediately.