CSR Certified Specialist In Renal Nutrition Exam
Questions With Verified Answers.
Nephrotic Syndrome? Caused by? Leads to? ~CORRECT
ANSWER~✓✓Glomerular damage (from lupus, autoimmune dx, DM, toxins,
collagen vascular dx)
Leads to proteinuria
Proteinuria g/day, s/s ~CORRECT ANSWER~✓✓(>3g/day SHOULD BE less
than 150mg)
fatigued
ineffective healing
lose muscle mass
3rd spacing (ascites, edema)
Nephrotic Syndrome Tx: sodium, fluid, protein, calories, Deficiency repletion
~CORRECT ANSWER~✓✓*Sodium: 2g restriction
*Fluid restriction ONLY if RF
*Protein: DONT PUT ON HIGH PROTEIN-only 24hr urine collection loss+RDA (
0.7-0.8 g protein/kg)
*Calories for healing
*Replete Vit D, Ca, bicarb, iron deficiencies
Protein requirement g/kg RDA ~CORRECT ANSWER~✓✓0.8 g/kg
,Protein requirement g/kg CKD (stages 3-5) ~CORRECT ANSWER~✓✓Non-DM
0.55-0.6 g/kg
DM 0.6-0.8 g/kg
Protein requirement g/kg CKD (stage 5D: HD/PD) ~CORRECT
ANSWER~✓✓Non-DM or DM 1.0-1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg ~CORRECT ANSWER~✓✓25-35
Kcal/kg
Phosphorus mg/day CKD (all stages) ~CORRECT ANSWER~✓✓-Adjust dietary
Phos intake to maintain serum P levels
-Consider bioavailability of Phos sources
-Posttransplant or Low Phos, Rx high phos diet and/or suppl
Potassium mEq/d CKD (all stages and post transplant) ~CORRECT
ANSWER~✓✓Maintain normal serum range with diet and suppl prn
Sodium mg/day CKD (all stages and post transplant) ~CORRECT
ANSWER~✓✓*<2300 mg/d for BP and volume control
*CKD 3-5 w/ proteinuria, limit Na+ to <2300mg/d with use of diuretics/etc.
Fiber g/day CKD (all stages) ~CORRECT ANSWER~✓✓20-30 g/day
, Fluids ml/day Hemodialysis ~CORRECT ANSWER~✓✓750-1500
Unstable patient criteria ~CORRECT ANSWER~✓✓-extended or freq
hospitalizations
-marked deterioration of health status
-psychosocial change or poor nutritional status
-unmanaged anemia
-inadequate dialysis
Nutrition Care Process (NCP) advantages ~CORRECT ANSWER~✓✓improves
consistency & quality of individualized care;
provides model & standard language;
adoption of core nutrition measures
ADIME ~CORRECT ANSWER~✓✓Assessment, Diagnosis, Intervention,
Monitoring/Evaluation
NCP Diagnosis 3 domains ~CORRECT ANSWER~✓✓Identify nutr
problem/diagnosis:
-Clinical
-Intake
-Behavioral/environmental
Questions With Verified Answers.
Nephrotic Syndrome? Caused by? Leads to? ~CORRECT
ANSWER~✓✓Glomerular damage (from lupus, autoimmune dx, DM, toxins,
collagen vascular dx)
Leads to proteinuria
Proteinuria g/day, s/s ~CORRECT ANSWER~✓✓(>3g/day SHOULD BE less
than 150mg)
fatigued
ineffective healing
lose muscle mass
3rd spacing (ascites, edema)
Nephrotic Syndrome Tx: sodium, fluid, protein, calories, Deficiency repletion
~CORRECT ANSWER~✓✓*Sodium: 2g restriction
*Fluid restriction ONLY if RF
*Protein: DONT PUT ON HIGH PROTEIN-only 24hr urine collection loss+RDA (
0.7-0.8 g protein/kg)
*Calories for healing
*Replete Vit D, Ca, bicarb, iron deficiencies
Protein requirement g/kg RDA ~CORRECT ANSWER~✓✓0.8 g/kg
,Protein requirement g/kg CKD (stages 3-5) ~CORRECT ANSWER~✓✓Non-DM
0.55-0.6 g/kg
DM 0.6-0.8 g/kg
Protein requirement g/kg CKD (stage 5D: HD/PD) ~CORRECT
ANSWER~✓✓Non-DM or DM 1.0-1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg ~CORRECT ANSWER~✓✓25-35
Kcal/kg
Phosphorus mg/day CKD (all stages) ~CORRECT ANSWER~✓✓-Adjust dietary
Phos intake to maintain serum P levels
-Consider bioavailability of Phos sources
-Posttransplant or Low Phos, Rx high phos diet and/or suppl
Potassium mEq/d CKD (all stages and post transplant) ~CORRECT
ANSWER~✓✓Maintain normal serum range with diet and suppl prn
Sodium mg/day CKD (all stages and post transplant) ~CORRECT
ANSWER~✓✓*<2300 mg/d for BP and volume control
*CKD 3-5 w/ proteinuria, limit Na+ to <2300mg/d with use of diuretics/etc.
Fiber g/day CKD (all stages) ~CORRECT ANSWER~✓✓20-30 g/day
, Fluids ml/day Hemodialysis ~CORRECT ANSWER~✓✓750-1500
Unstable patient criteria ~CORRECT ANSWER~✓✓-extended or freq
hospitalizations
-marked deterioration of health status
-psychosocial change or poor nutritional status
-unmanaged anemia
-inadequate dialysis
Nutrition Care Process (NCP) advantages ~CORRECT ANSWER~✓✓improves
consistency & quality of individualized care;
provides model & standard language;
adoption of core nutrition measures
ADIME ~CORRECT ANSWER~✓✓Assessment, Diagnosis, Intervention,
Monitoring/Evaluation
NCP Diagnosis 3 domains ~CORRECT ANSWER~✓✓Identify nutr
problem/diagnosis:
-Clinical
-Intake
-Behavioral/environmental
