A patient with chronic kidney disease is being educated on managing their condition through dietary changes. Which of the following dietary adjustments is most appropriate for this patient?
Increase the intake of potassium-rich foods to replace what is lost through dialysis.
Increase protein intake to support kidney function and repair.
Avoid all dairy products to reduce the load on kidney processing.
Limit protein intake and monitor potassium, phosphorus, and sodium levels.
For most non-dialysis patients with chronic kidney disease, a moderate restriction of dietary protein (about 0.6-0.8 g/kg/day) helps reduce the buildup of nitrogenous waste products that damaged kidneys can no longer excrete. In addition, these patients often need to keep potassium, phosphorus, and sodium within target ranges because impaired renal function limits the body's ability to regulate these electrolytes. Increasing protein or potassium intake would risk further metabolic imbalance, and a blanket avoidance of all dairy is unnecessary-phosphorus management focuses on portion control and, when appropriate, phosphate binders rather than complete elimination of an entire food group.
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