Final answer:
Children with CKD who have protein intake restrictions can experience delayed growth and development, as a protein deficiency can lead to inadequate amino acids needed for proper cellular function.
Step-by-step explanation:
Children with Chronic Kidney Disease (CKD) and restrictions of protein intake are mainly at risk due to the potential lack of essential amino acids required for growth and cellular function. The correct answer to the student's question is:
- c) May have delayed growth and development
A restriction in protein intake can lead to kwashiorkor, a severe form of malnutrition, seen often in developing countries where children are not getting the necessary protein from their diets. While nephrotic syndrome is associated with significant protein loss in the urine and resulting complications, restricting protein intake as a dietary measure in CKD does not increase the risk of developing nephrotic syndrome specifically. Instead, a lack of protein can lead to inadequate growth, developmental delays, and failure to thrive due to insufficient amino acids for cellular function and development.