Medical Nutrition Therapy for Renal Conditions Flashcards
7 cards from real CSR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medical Nutrition Therapy for Renal Conditions flashcards as text
A pregnant patient with CKD stage 3 is being counseled on nutrition. How does protein requirement change compared to non-pregnant CKD patients?
Answer: Protein needs increase to support fetal growth while still limiting excessive intake
Pregnant CKD patients have increased protein needs for fetal development but require careful monitoring to avoid excessive uremic toxin production.
Which dietary pattern has been shown to slow CKD progression and reduce cardiovascular risk in early-stage CKD?
Answer: DASH diet modified for lower potassium and phosphorus content
A modified DASH diet—adjusted for CKD-specific mineral restrictions—supports blood pressure control and has evidence for slowing CKD progression.
A patient with polycystic kidney disease (PKD) asks about dietary strategies to slow cyst growth. Which intervention has emerging evidence?
Answer: Caloric restriction and time-restricted eating to reduce mTOR activation
Emerging research suggests caloric restriction and time-restricted eating may reduce mTOR pathway activation, which drives cyst growth in PKD.
A dialysis patient reports using herbal supplements including licorice root. What is the primary nutritional concern the renal dietitian should address?
Answer: Potassium and sodium content that may worsen electrolyte imbalances
Many herbal supplements contain hidden potassium, sodium, or other minerals that can worsen electrolyte imbalances in renal patients.
In a patient with CKD and iron deficiency anemia, which form of iron supplement is preferred to minimize GI side effects and optimize absorption?
Answer: Ferric citrate, which also acts as a phosphate binder
Ferric citrate serves dual purpose in CKD—treating iron deficiency anemia while also binding dietary phosphorus, reducing pill burden.
A CKD patient has laboratory values showing low zinc levels. What is the MOST likely contributing factor related to renal disease?
Answer: Reduced appetite leading to poor dietary intake plus increased urinary losses
CKD patients commonly have low zinc due to anorexia reducing dietary intake, combined with increased urinary zinc losses in earlier CKD stages.
Which statement best describes the role of dietary sodium restriction in managing CKD progression?
Answer: Reducing sodium intake to less than 2300 mg/day helps control blood pressure and may slow CKD progression
Sodium restriction to <2300 mg/day reduces blood pressure, decreases proteinuria, and is associated with slower CKD progression.