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生理適應 · MEDIUM · MCQ

一位慢性腎臟病(CKD)病人正在進行飲食評估。病人選擇下列哪種食物代表理解飲食限制?

A client with chronic kidney disease (CKD) is being evaluated for dietary compliance. Which food choice indicates that the client understands the dietary restrictions?

  • AGrilled salmon with a side of mashed potatoes
    烤鮭魚配馬鈴薯泥
  • BBaked chicken breast with steamed broccoli✓ 正解
    烤雞胸肉配蒸西蘭花
  • CTomato and spinach salad with feta cheese
    番茄菠菜沙拉配菲達起司
  • DCanned vegetable soup with crackers
    罐頭蔬菜濃湯配餅乾
Explanation · 中文詳解

慢性腎臟病(CKD)病人因腎絲球過濾率下降,無法有效代謝鉀、磷與鈉。飲食控制的目標是「低鉀、低磷、低鈉、優質蛋白」。雞胸肉屬於優質蛋白質且鉀磷含量相對較低,綠花椰菜若經適當烹調(如燙過以去除部分鉀)是適合的選擇。高鉀食物(如番茄、菠菜、馬鈴薯)可能導致致命性的高血鉀,而加工食品(罐頭湯)則隱藏過量的鈉與磷添加劑。

Patients with chronic kidney disease require a diet low in potassium, phosphorus, and sodium to prevent complications such as hyperkalemia and fluid overload. Baked chicken breast provides high-quality protein with lower potassium content, and steamed broccoli is a suitable vegetable choice when prepared to reduce mineral content. In contrast, salmon, potatoes, tomatoes, and spinach are high in potassium, and canned soups often contain excessive sodium and phosphorus additives.

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