Mr. Bradley is a 70-year-old man with a long medical history including uncontrolled diabetes mellitus since age 45 who presents to the West Smithtown Dialysis Center with new-onset end-stage kidney disease. Mr. Bradley lives in an assisted living facility where he receives full-time nursing care. As a dialysis nurse, your role is to review the nutrition guidelines with Mr. Bradley, who has diabetic retinopathy and loss of vision. He is a non-ambulatory war veteran, former smoker, and former alcohol abuser whose BMI is normal, though he has lost 3% of his body weight since being diagnosed with kidney failure one month ago. A food frequency questionnaire shows that Mr. Bradley generally meets his recommended intakes of all food groups, but his fiber intake is low, and his dairy foods consumption exceeds the recommendation by double due to his love of milk, ice cream, cheese, and other dairy products.
You explain to Mr. Bradley that the diet for end-stage renal disease:

Question

Quizplus · Accepted Answer

The correct choice is D, as the diet for end-stage renal disease can help to control electrolytes and avoid a life-threatening imbalance. This is particularly important for Mr. Bradley, who has uncontrolled diabetes mellitus, which can lead to electrolyte imbalances. While the diet may not have a significant impact on disease progression, it can help prevent complications and improve quality of life. Additionally, the diet can help to control nitrogenous wastes, though this is not the main reason for the dietary recommendations in end-stage renal disease. The diet is also unlikely to prevent further vision loss in Mr. Bradley due to his underlying diabetic retinopathy. However, it is still important to address his low fiber intake and excessive dairy consumption as part of his overall nutrition plan.

Mr Bradley Is a 70-Year-Old Man with a Long Medical