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.

-Mr. Bradley's comprehension of the need for a lower-phosphorus diet is reflected by which statement?

Question

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.
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-Mr. Bradley's comprehension of the need for a lower-phosphorus diet is reflected by which statement?​

Quizplus · Accepted Answer

Mr. Bradley's new-onset end-stage kidney disease requires a low-phosphorus diet, and dairy products are high in phosphorus. Therefore, limiting dairy products would be the best choice for him. Choice A and E are related to a low-fat and low-protein diet, respectively, but are not directly related to a low-phosphorus diet. Choice B does contain some phosphorus but is not a major contributor like dairy products. Choice D is unrelated to a low-phosphorus diet and could potentially lead to high phosphorus intake through additives in bread.

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