Question

The nurse is creating a plan of care for a client with chronic kidney disease and uremia. The nurse is developing interventions to assist in promoting an increased dietary intake while at the same time maintaining necessary dietary restrictions. Which action should the nurse include in the plan of care?

1.	Increase the amount of protein in the diet.
2.	Increase the amount of potassium in the daily diet.
3.	Maintain a diet high in calories with frequent snacks.
4.	Encourage the client to eat a large breakfast and smaller meals later in the day.

Answer 1

3. Maintain a diet high in calories with frequent snacks.

Uremia can be defined as a condition of having high levels of urea in the body due to decreased kidney function and excess of amino acid and protein in the end products. Some major symptoms of this problem is fatigue, nausea, anorexia, loss of appetite, a constant unpleasant metallic taste in the mouth and even vomiting in the morning. Hence it becomes important to maintain optimal nutrition and have high calories diet accompanied by frequent snacks and a light breakfast but larger meals later in the day. In a condition like this, a patient should try to limit the protein, sodium, and potassium intake.