Dietetic Technician Practice Test

Based on a 24-hour recall, what is true about the protein intake of a 53-year-old female with ESRD?

1. She is consuming approximately 1.4g/kg

2. She is under the recommended intake levels

3. She should increase her protein intake

4. She is consuming approximately 1.8g/kg

The correct answer is: She is consuming approximately 1.8g/kg

In the context of a 53-year-old female with End-Stage Renal Disease (ESRD), a protein intake of approximately 1.8g/kg is indeed significant. Typically, patients with ESRD require careful management of their protein intake. While it is essential to maintain adequate protein levels to prevent malnutrition, the amount usually recommended may be lower for those not on dialysis. For patients undergoing dialysis, the intake can be higher to compensate for protein loss during the treatment, and 1.2 to 1.5g/kg/day could be suitable. However, the assertion that she is consuming about 1.8g/kg suggests an intentional strategy to ensure she meets the increased protein needs due to her condition while also considering limitations on phosphorus and potassium, as kidney patients need to manage these closely. The other choices suggest either an appropriate or inadequate intake without adapting to the specific needs of a patient with ESRD receiving dialysis. Those interpretations might overlook the nuances of dietary requirements based on the individual's treatment plan and overall health situation. Thus, recognizing the increased protein needs for patients with ESRD on dialysis is crucial, making the chosen response accurate.