Question

Dietary interventions for the client with nephrotic syndrome are dependent on the glomerular filtration rate (GFR). Which type of diet is most appropriate for the nephrotic client with a glomerular filtration rate of \(120 \mathrm{ml} / \mathrm{min}\) ? A. Increased protein B. Decreased carbohydrate C. Decreased protein D. Increased carbohydrate

Short answer

Answer: C. Decreased protein

Step-by-step solution

Understand nephrotic syndrome and glomerular filtration rate (GFR)

Nephrotic syndrome is a kidney disorder that causes the body to excrete too much protein in the urine. The glomerular filtration rate (GFR) is a measure of how well the kidneys are filtering waste and excess fluids from the blood.

Analyze the effect of GFR on nephrotic syndrome dietary recommendations

A GFR of 120 ml/min indicates a normal kidney function. In general, lower GFR values indicate the kidneys are not functioning as well as they should and the client requires dietary interventions.

Review the given diet options

The four diet options given are: A. Increased protein B. Decreased carbohydrate C. Decreased protein D. Increased carbohydrate

Determine the most appropriate diet based on the GFR

Since the client has a normal GFR, the primary dietary intervention for nephrotic syndrome should focus on reducing proteinuria (excess protein in the urine). This can be done by decreasing dietary protein intake. Therefore, the most appropriate diet for the client is: C. Decreased protein.