A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

 

Choice A reason: While a low-protein diet can help manage electrolyte imbalances, it is not specifically targeted at reducing the risk for hyperkalemia. Hyperkalemia is more directly managed by restricting foods high in potassium.

Choice B reason: A low-protein diet helps reduce the risk for uremia, which is the accumulation of waste products in the blood due to impaired kidney function. By consuming less protein, there is less urea and other nitrogenous wastes for the kidneys to filter, which can help delay the progression of kidney disease.

Choice C reason: Edema is related to fluid retention and not directly to protein intake. A low-protein diet does not specifically reduce the risk for edema unless it is associated with kidney dysfunction affecting fluid balance.

Choice D reason: A low-protein diet will indeed decrease the amount of nitrogenous waste in the blood because less protein breakdown means less waste for the kidneys to remove. However, this choice is less specific than Choice B, which directly addresses the condition of uremia that is a concern for patients with chronic kidney failure.

Choice A reason: Asparagus is not typically high in potassium and does not need to be avoided by clients with chronic

kidney disease.

Choice B reason: Raisins are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.

Choice C reason: Bananas are known to be high in potassium and should be limited or avoided in clients with chronic kidney disease.

Choice D reason: Tomatoes and tomato products are high in potassium and should be avoided to maintain safe

potassium levels.

Choice E reason: Green beans are not considered high in potassium and do not typically need to be avoided by clients with chronic kidney disease.