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CSR certified specialist in renal nutrition Exam Questions And Answers 100% Pass

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CSR certified specialist in renal nutrition Exam Questions And Answers 100% Pass Nephrotic Syndrome? Caused by? Leads to? - answerGlomerular 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 ...

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  • October 28, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nutrition
  • Nutrition
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©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

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