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    Ati Med Surg Proctored ExamQuestion 12
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    Ati Med Surg Proctored Exam

    A nurse is caring for a client who has end-stage kidney disease. Which of the following dietary instructions should the nurse give to the client's partner?

    Explanation & Rationale

    A. Clients with end-stage kidney disease (ESKD) are at risk for hyperkalemia due to impaired potassium excretion. Limiting potassium intake to approximately 60 mEq/day helps prevent life-threatening complications. B. High-protein diets are not typically encouraged for clients with ESKD who are not on dialysis, as protein breakdown produces nitrogenous waste. Protein intake is carefully managed based on dialysis status. C. Foods high in phosphorus should be avoided in ESKD, as phosphorus excretion is impaired, leading to hyperphosphatemia and complications like bone disease. D. While fluid restriction is common, 450 mL/day is generally too restrictive. The typical recommendation is around 500–1,000 mL/day plus urine output, based on the client’s fluid status and dialysis schedule.

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