The nurse is providing dietary education to a client in end stage kidney failure who requires dialysis three times a week. Which information is important for the nurse to include about the client's daily diet?

A. In end-stage kidney failure, nephron damage is permanent and irreversible. Increasing protein does not restore kidney function. B. Clients with end-stage kidney disease (ESKD) who are receiving dialysis require increased protein intake. Dialysis removes not only waste products but also amino acids and proteins. Without adequate protein intake, the client is at risk for malnutrition, muscle wasting, poor wound healing, and decreased energy. Therefore, protein intake is increased to replace losses and maintain nutritional status. C. Protein restriction is appropriate in earlier stages of chronic kidney disease to reduce workload on the kidneys. However, once the client is on dialysis, protein needs increase. D. Protein intake should be decreased to prevent the buildup of nitrogenous wastes, which the failing kidneys cannot adequately filter. Dialysis can help remove these wastes, but dietary management is still crucial.