©BRIGHTSTARS EXAM SOLUTIONS
10/23/2024 11:19 PM
CSR certified specialist in renal nutrition
Exam Questions And Answers 100% Pass
Nephrotic Syndrome? Caused by? Leads to? - answer✔Glomerular damage (from lupus, autoimmune dx,
DM, toxins, collagen vascular dx)
Leads to proteinuria
Proteinuria g/day, s/s - 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 - 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 - answer✔0.8 g/kg
Protein requirement g/kg CKD (stages 3-5) - 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) - answer✔Non-DM or DM 1.0-1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg - answer✔25-35 Kcal/kg
Phosphorus mg/day CKD (all stages) - answer✔-Adjust dietary Phos intake to maintain serum P levels
, ©BRIGHTSTARS EXAM SOLUTIONS
10/23/2024 11:19 PM
-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) - answer✔Maintain normal serum range with diet
and suppl prn
Sodium mg/day CKD (all stages and post transplant) - 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) - answer✔20-30 g/day
Fluids ml/day Hemodialysis - answer✔750-1500
Unstable patient criteria - 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 - answer✔improves consistency & quality of individualized
care;
provides model & standard language;
adoption of core nutrition measures
ADIME - answer✔Assessment, Diagnosis, Intervention, Monitoring/Evaluation
NCP Diagnosis 3 domains - answer✔Identify nutr problem/diagnosis:
-Clinical
-Intake
-Behavioral/environmental
Motivational Interviewing (MI): Stages of change - answer✔Pre-contemplative, Contemplation,
Preparation, Action, Maintenance
Motivational Interviewing: Pre-contemplation - answer✔not ready to consider change
Motivational Interviewing: Contemplation - answer✔ready to consider change, mixed feelings; may see
benefits and drawbacks
10/23/2024 11:19 PM
CSR certified specialist in renal nutrition
Exam Questions And Answers 100% Pass
Nephrotic Syndrome? Caused by? Leads to? - answer✔Glomerular damage (from lupus, autoimmune dx,
DM, toxins, collagen vascular dx)
Leads to proteinuria
Proteinuria g/day, s/s - 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 - 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 - answer✔0.8 g/kg
Protein requirement g/kg CKD (stages 3-5) - 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) - answer✔Non-DM or DM 1.0-1.2 g/kg
CKD (all stages & dialysis) Energy Kcal/kg - answer✔25-35 Kcal/kg
Phosphorus mg/day CKD (all stages) - answer✔-Adjust dietary Phos intake to maintain serum P levels
, ©BRIGHTSTARS EXAM SOLUTIONS
10/23/2024 11:19 PM
-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) - answer✔Maintain normal serum range with diet
and suppl prn
Sodium mg/day CKD (all stages and post transplant) - 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) - answer✔20-30 g/day
Fluids ml/day Hemodialysis - answer✔750-1500
Unstable patient criteria - 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 - answer✔improves consistency & quality of individualized
care;
provides model & standard language;
adoption of core nutrition measures
ADIME - answer✔Assessment, Diagnosis, Intervention, Monitoring/Evaluation
NCP Diagnosis 3 domains - answer✔Identify nutr problem/diagnosis:
-Clinical
-Intake
-Behavioral/environmental
Motivational Interviewing (MI): Stages of change - answer✔Pre-contemplative, Contemplation,
Preparation, Action, Maintenance
Motivational Interviewing: Pre-contemplation - answer✔not ready to consider change
Motivational Interviewing: Contemplation - answer✔ready to consider change, mixed feelings; may see
benefits and drawbacks
