Manitoba Nephrology Nurse Practice Test

In the context of Metabolic Acidosis, which of the following is significant for patient management?

1. Increasing dietary carbohydrates

2. Monitoring protein intake

3. Limiting hydration

4. Encouraging high-calorie diets

The correct answer is: Monitoring protein intake

Monitoring protein intake is significant for patient management in the context of metabolic acidosis because it directly impacts the body's acid-base balance. In conditions where metabolic acidosis is present, excessive protein intake can lead to increased production of nitrogenous waste products such as urea and ammonia, which can aggravate acidosis and place additional strain on the kidneys. The kidneys play a crucial role in filtering these waste products and maintaining acid-base equilibrium. By carefully monitoring and potentially limiting protein intake, healthcare providers can help reduce the burden on the kidneys and manage the acidosis more effectively. This strategy also aids in reducing the risk of further metabolic disturbance and supports overall patient health. In contrast, increasing dietary carbohydrates, limiting hydration, and encouraging high-calorie diets may not directly address the underlying issue of metabolic acidosis and could also lead to other metabolic complications or affect fluid balance negatively.