07-01-2010, 09:28 PM
16. A 6-year-old girl is brought to the physician because of a 4-week history of headache, fatigue,
and decreased appetite. During this period, she has had nausea and vomiting. At the age of 4 years,
she was diagnosed with poststreptococcal glomerulonephritis. She is at the 15th percentile for
height and the 10th percentile for weight. Examination shows no abnormalities. Her serum urea
nitrogen (BUN) level is 50 mg/dL. Which of the following is most likely to limit progression of this
patient's renal failure?
A
) Increased potassium and sodium bicarbonate intake
B
) Decreased sodium and daily calorie intake
C
) Low-protein diet
D
) Strict fluid restriction
E
) Dialysis
and decreased appetite. During this period, she has had nausea and vomiting. At the age of 4 years,
she was diagnosed with poststreptococcal glomerulonephritis. She is at the 15th percentile for
height and the 10th percentile for weight. Examination shows no abnormalities. Her serum urea
nitrogen (BUN) level is 50 mg/dL. Which of the following is most likely to limit progression of this
patient's renal failure?
A
) Increased potassium and sodium bicarbonate intake
B
) Decreased sodium and daily calorie intake
C
) Low-protein diet
D
) Strict fluid restriction
E
) Dialysis