CCHT Nutrition and Fluid Management 2

Question 1

What is the recommended daily protein intake for a stable adult hemodialysis patient?

Accepted Answer

1.0–1.2 g/kg/day with at least 50% from high biological value sources

Answer

0.6–0.8 g/kg/day (same as CKD non-dialysis)

Answer

2.0–2.5 g/kg/day to compensate for dialysis losses

Answer

0.4 g/kg/day to minimize uremia

Question 2

A hemodialysis patient consistently gains 4–5 kg between treatments (interdialytic weight gain, IDWG). Which of the following dietary changes would most directly address this problem?

Accepted Answer

Reduce dietary sodium intake to decrease thirst and fluid consumption

Answer

Increase protein intake to improve albumin and oncotic pressure

Answer

Increase potassium intake to balance the high fluid load

Answer

Restrict phosphorus intake to improve vascular compliance

Question 3

Which of the following foods should a hemodialysis patient most strictly limit to prevent hyperkalemia?

Accepted Answer

Bananas, oranges, and potatoes

Answer

White bread and pasta

Answer

Eggs and lean chicken breast

Answer

Brown rice and oatmeal

Question 4

What is the recommended daily fluid intake limit for most anuric hemodialysis patients?

Accepted Answer

1000 mL/day + previous day's urine output

Answer

500 mL/day

Answer

2000 mL/day regardless of urine output

Answer

3000 mL/day to prevent dehydration

Question 5

What is the goal of dry weight assessment in hemodialysis patients?

Accepted Answer

To identify the post-dialysis weight at which the patient is euvolemic (normotensive without signs of fluid overload or depletion)

Answer

To determine the minimum weight the patient can safely achieve before cardiovascular collapse

Answer

To calculate the ideal protein intake based on lean body mass

Answer

To establish a baseline weight for calculating dialysis adequacy

Question 6

Which vitamin supplement is commonly recommended for hemodialysis patients, and why?

Accepted Answer

Water-soluble vitamins (B-complex and C), because they are dialyzed out during each treatment

Answer

Vitamin A, because it enhances phosphorus binder efficacy

Answer

Vitamin K, because it prevents vascular calcification in dialysis patients

Answer

Fat-soluble vitamins (A, D, E, K) in high doses to replace dialysis losses