Fairly easy

A patient with chronic kidney disease has a serum phosphate level above the target range and reports persistent itching. Which instruction is most appropriate?

Correct answer: A. Limit high-phosphate foods as prescribed

  • A. Limit high-phosphate foods as prescribed
  • B. Increase cola drinks to improve hydration
  • C. Take phosphate binders only between meals
  • D. Add extra dairy products to replace lost protein

Explanation

Phosphate retention in chronic kidney disease can contribute to pruritus and bone-mineral problems. Dietary phosphate restriction and prescribed phosphate binders help control the level, and many binders work best when taken with meals.

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About Renal and Urological Nursing

Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.

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