QuestionJune 8, 2025

A nurse is teaching about diet restrictions to a client who has acute kidney injury and is on hemodialysis. Which of the following recommendations should the nurse include in the teaching? Limit calcium intake to 2,500mg/day. Decrease total fat intake to 45% of daily calories. Decrease potassium intake to 60 to 70mEq/kg. Limit sodium intake to 4.5g/day

A nurse is teaching about diet restrictions to a client who has acute kidney injury and is on hemodialysis. Which of the following recommendations should the nurse include in the teaching? Limit calcium intake to 2,500mg/day. Decrease total fat intake to 45% of daily calories. Decrease potassium intake to 60 to 70mEq/kg. Limit sodium intake to 4.5g/day
A nurse is teaching about diet restrictions to a client who has acute kidney injury and is on hemodialysis. Which of the following recommendations should the
nurse include in the teaching?
Limit calcium intake to 2,500mg/day.
Decrease total fat intake to 45%  of daily calories.
Decrease potassium intake to 60 to 70mEq/kg.
Limit sodium intake to 4.5g/day

Solution
4.3(154 votes)

Answer

None of the recommendations are appropriate. Explanation 1. Identify Dietary Restrictions for Acute Kidney Injury Patients with acute kidney injury on hemodialysis should limit intake of certain nutrients to prevent complications. Key restrictions include limiting potassium, sodium, and phosphorus. 2. Evaluate Each Recommendation - **Calcium**: Typically, calcium intake is not limited to 2,500mg/day; it should be lower due to the risk of hypercalcemia. - **Total Fat**: Decreasing total fat intake to 45\% of daily calories is incorrect; recommended fat intake is usually around 20-35\%. - **Potassium**: Intake should be significantly reduced, but 60-70mEq/kg is excessively high. - **Sodium**: Limiting sodium to 4.5g/day is too high; recommended is usually less than 2.3g/day.

Explanation

1. Identify Dietary Restrictions for Acute Kidney Injury<br /> Patients with acute kidney injury on hemodialysis should limit intake of certain nutrients to prevent complications. Key restrictions include limiting potassium, sodium, and phosphorus.<br /><br />2. Evaluate Each Recommendation<br /> - **Calcium**: Typically, calcium intake is not limited to $2,500mg/day$; it should be lower due to the risk of hypercalcemia.<br /> - **Total Fat**: Decreasing total fat intake to $45\%$ of daily calories is incorrect; recommended fat intake is usually around $20-35\%$.<br /> - **Potassium**: Intake should be significantly reduced, but $60-70mEq/kg$ is excessively high.<br /> - **Sodium**: Limiting sodium to $4.5g/day$ is too high; recommended is usually less than $2.3g/day$.
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