Final answer:
The nurse should recommend a reduced intake of protein for a client with kidney disease. Excessive protein puts additional strain on the kidneys by increasing nitrogen and urea. Proper hydration and other dietary modifications are also part of preventive strategies for kidney health.
Step-by-step explanation:
A nurse teaching a client with kidney disease should recommend restricting the intake of protein. Kidney disease often results in a reduced ability to filter and excrete waste products.
Excessive protein intake increases the amount of nitrogen and urea in the blood, which can put additional strain on the kidneys. Additionally, the prevention of kidney disease includes dietary modifications like a low-protein diet to reduce the excretory load on the kidneys.
It's important to maintain hydration by drinking enough water to produce 2 to 2.5 liters of urine per day. In contrast, carbohydrates should primarily be restricted in patients with diabetes mellitus to control hyperglycemia, but this is not the primary concern for predialysis kidney disease patients.
While the role of calcium intake is complex, it does not typically require restriction prior to dialysis, unless otherwise indicated for specific conditions. Similarly, monounsaturated fats are not a primary concern in predialysis dietary recommendations for kidney disease patients.