Question

A client is hospitalized in the oliguric phase of acute kidney injury (AKI) and is receiving tube feedings. The nurse is teaching the client's spouse about the renal-specific formulation for the enteral solution compared to standard formulas. What components would be discussed in the teaching plan? (Select all that apply.)

a. Lower sodium
b. Higher calcium
c. Lower potassium
d. Higher phosphorus
e. Higher calories

Answer 1

In teaching about the renal-specific enteral formula, the plan would include information on lower sodium and potassium levels, and potentially higher calories, while managing phosphorus and calcium according to the patient's specific needs.

Step-by-step explanation:

When discussing the components of a renal-specific formulation for enteral feeding in a client with acute kidney injury (AKI) during the oliguric phase, it is essential to include variations in certain nutrients compared to standard formulas. These include lower sodium to prevent fluid overload and hypertension, lower potassium to minimize the risk of hyperkalemia due to the kidneys' diminished capacity to excrete potassium, and possibly higher calories to ensure adequate nutrition without overburdening the kidneys with excessive protein.

Since AKI can impair the kidneys' ability to regulate electrolytes and fluids, dietary modifications play a critical role in managing patients' conditions. Additionally, during this phase, patients may be at risk of hypophosphatemia or hyperphosphatemia, so phosphorus levels would be carefully managed and not necessarily higher, as with calcium, which needs to be adjusted based on the individual's specific blood work and condition.