one factor that contributes to the development of bone diseases in patients with ckd is retention of

ATI RN

ATI Nutrition Practice A

1. Which factor contributes to the development of bone diseases in patients with Chronic Kidney Disease (CKD) due to retention?

A. Iron
B. Sodium
C. Potassium
D. Phosphorus

Correct answer: D

Rationale: The correct answer is phosphorus. Retention of phosphorus in patients with Chronic Kidney Disease (CKD) contributes to the development of bone disorders, including osteodystrophy, because it disrupts the balance of calcium and phosphorus in the body. This imbalance leads to a variety of bone diseases. The other options - iron, sodium, and potassium - while important in the overall metabolic function, are not directly linked to the development of bone diseases in CKD patients due to retention.

2. A client with Crohn's disease is receiving parenteral nutrition. Which of the following interventions should the nurse not include in the care of this client?

A. Remove the parenteral nutrition solution from the refrigerator 2 hours before infusion.
B. Remove unused parenteral nutrition after 12 hours of use.
C. Monitor daily laboratory values and report abnormalities as needed.
D. Monitor the flow rate of the parenteral nutrition carefully and adjust it if necessary.

Correct answer: B

Rationale: In caring for a client receiving parenteral nutrition, it is important to follow proper guidelines to ensure safety and effectiveness. Unused parenteral nutrition should be removed after 24 hours, not 12 hours, to prevent contamination and reduce the risk of infection. Option A is correct as it ensures the solution is at room temperature before infusion. Option C is essential for monitoring the client's response to parenteral nutrition. Option D is important to maintain the correct flow rate and adjust it as needed. Therefore, option B is the incorrect choice among the options provided.

3. A client with chronic kidney disease is being taught about dietary needs by a nurse. Which of the following foods should the nurse identify as being the lowest in phosphorus?

A. Medium apple
B. Bran cereal
C. Scrambled eggs
D. Ground turkey

Correct answer: A

Rationale: The correct answer is A, a medium apple. Apples are a suitable option for clients with chronic kidney disease as they are low in phosphorus. Bran cereal (choice B), scrambled eggs (choice C), and ground turkey (choice D) are all higher in phosphorus content compared to apples, making them less ideal choices for individuals with chronic kidney disease.

4. Riboflavin

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B12

Correct answer: B

Rationale: Riboflavin is also known as Vitamin B2, which is important for energy production and the metabolism of fats, drugs, and steroids.

5. How many amino acids are essential?

A. 5
B. 7
C. 9
D. 13

Correct answer: C

Rationale: The correct answer is C: 9. There are 9 essential amino acids that the body cannot synthesize and must be obtained through the diet. These 9 amino acids are histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine. Choices A, B, and D are incorrect as they do not represent the correct number of essential amino acids.