Electrolyte Imbalance in Renal Disease · NCLEX Exam

What dietary advice is most appropriate for a patient with CKD and elevated phosphate?

  1. Increase dairy and meat intake without any restriction
  2. Restrict high-phosphorus foods and use a phosphate binder
  3. Ignore phosphate levels as they have no clinical significance
  4. Increase dietary phosphate intake to stimulate PTH release
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Correct answer: Restrict high-phosphorus foods and use a phosphate binder

In CKD where phosphate excretion is impaired, diet restriction plus binders help control hyperphosphatemia and complications.

Difficulty: Easy Question 18 of 20

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