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Chapter 22: Problem 41

Which diet is appropriate for a client with nephrotic syndrome who has a normal glomerular filtration rate? A. Increased protein B. Decreased carbohydrate C. Increased fat D. Decreased protein

Short Answer

Expert verified
Answer: The most appropriate diet for a client with nephrotic syndrome and a normal glomerular filtration rate is a moderate increase in protein intake, along with consuming healthy fats. Decreased carbohydrate or decreased protein intake are not recommended for this patient.

Step by step solution

01

Understand Nephrotic Syndrome

Nephrotic syndrome is a kidney disorder characterized by an increased loss of proteins in the urine, which can lead to low levels of protein in the blood. Proteinuria, hypoalbuminemia, and edema are the main signs of this condition. As the glomerular filtration rate is normal, this means that the kidneys are still able to eliminate waste products efficiently.
02

Analyze the Effect of Increased Protein

Option A suggests increasing protein intake. In nephrotic syndrome, the body loses a significant amount of protein through urine. Increased protein intake could help replace the lost proteins in order to maintain normal body functions that rely on proteins, such as immune function and tissue repair. However, too much protein intake may overburden the kidneys and worsen the condition. So, this option should be considered with caution.
03

Analyze the Effect of Decreased Carbohydrate

Option B suggests decreasing carbohydrate intake. Carbohydrates provide an essential source of energy for the body. There is no direct correlation between carbohydrate intake and nephrotic syndrome. Decreasing carbohydrate intake without any specific reason might be harmful to the patient, causing a lack of energy. Therefore, this option is not suitable.
04

Analyze the Effect of Increased Fat

Option C suggests increasing fat intake. Fats also provide energy, and increasing fat intake could help compensate for the reduced intake of carbohydrates or proteins. There is no direct link between fat intake and nephrotic syndrome, but it is important to ensure that fats being consumed are healthy fats like monounsaturated and polyunsaturated fats, not unhealthy saturated or trans fats. Thus, this option may be helpful, provided that the patient consumes healthy fats.
05

Analyze the Effect of Decreased Protein

Option D suggests decreased protein intake. This option may help decrease the burden on kidneys, but reducing protein intake could lead to further complications due to the already low levels of protein in the blood associated with nephrotic syndrome. Decreased protein intake may make it harder for the body to maintain normal functions that rely on proteins. So, this option is not ideal.
06

Conclusion

The most appropriate diet for a client with nephrotic syndrome and a normal glomerular filtration rate is option A, increased protein intake, as long as the increase is moderate and doesn't overload the kidneys. Option C, increased fat intake, could also be helpful if the patient consumes healthy fats. Decreased carbohydrate or decreased protein intake are not recommended for this patient because they lack direct correlation with nephrotic syndrome and might lead to further complications.

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