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.
Since this is Mr. Bradley's first visit to the center, his primary care nurse spends hours speaking to him while his dialysis progresses. The nurse explains that within the next week he will be seen by _____, who will counsel him about his nutrition therapy.

Question

Quizplus · Accepted Answer

Since Mr. Bradley has new-onset end-stage kidney disease and a history of uncontrolled diabetes, it is important for him to receive specific nutrition counseling from a dietitian who specializes in chronic kidney disease. This will ensure that his diet is tailored to his medical history and unique needs. A physician oversees all aspects of medical care, but may not have the same level of expertise in nutrition as a specialized dietitian. Choice C is not a valid option as it is not appropriate for another client to counsel Mr. Bradley about his nutrition therapy. Choice D may be important in addressing nutrients administered via the dialysate, but it is not relevant to the discussion of Mr. Bradley's overall nutrition. Choice E is not relevant in terms of providing nutrition counseling, as the phlebotomy nurse is focused on laboratory values.

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