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Nutritional Needs And Nutrient Content Practice Test
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Q1
A 67-year-old man (weight 78 kg, height 172 cm) with chronic kidney disease stage 4 (estimated glomerular filtration rate 22 mL/min/1.73 m$^2$) asks what to change in his diet to reduce complications. Medical history includes hypertension and type 2 diabetes; dietary preference is “meat-heavy,” and he uses a salt substitute. Medications include lisinopril 20 mg daily, furosemide 40 mg daily, calcium acetate with meals, and a multivitamin. Labs: potassium 5.7 mEq/L (normal 3.5–5.0), phosphorus 5.8 mg/dL (normal 2.5–4.5), bicarbonate 19 mEq/L (normal 22–28), albumin 3.6 g/dL (normal 3.5–5.0). How should the patient's diet be adjusted to manage their condition?
A 67-year-old man (weight 78 kg, height 172 cm) with chronic kidney disease stage 4 (estimated glomerular filtration rate 22 mL/min/1.73 m$^2$) asks what to change in his diet to reduce complications. Medical history includes hypertension and type 2 diabetes; dietary preference is “meat-heavy,” and he uses a salt substitute. Medications include lisinopril 20 mg daily, furosemide 40 mg daily, calcium acetate with meals, and a multivitamin. Labs: potassium 5.7 mEq/L (normal 3.5–5.0), phosphorus 5.8 mg/dL (normal 2.5–4.5), bicarbonate 19 mEq/L (normal 22–28), albumin 3.6 g/dL (normal 3.5–5.0). How should the patient's diet be adjusted to manage their condition?