A client with chronic kidney disease is on a low-sodium, low-potassium diet. Which meal is appropriate?

• A. Pizza with extra salt
• B. Grilled chicken with steamed vegetables and rice, no added salt.
• C. Fried chicken with French fries
• D. Canned soup with added salt

Answer: (B)

In chronic kidney disease, limiting sodium and potassium is essential because the kidneys can’t regulate these electrolytes well, leading to fluid overload or dangerous heart rhythms. The best choice is the grilled chicken with steamed vegetables and rice prepared with no added salt. It provides lean protein and a bland carbohydrate without extra sodium from processing or seasoning. Avoiding added salt helps keep sodium intake low, which helps control blood pressure and fluid balance, and it also reduces the risk from high-sodium processed foods. The other options raise sodium through extra salt, processed dishes, or salty restaurant/processed items (like pizza with extra salt, fried chicken with fries, or canned soup with added salt), making them unsuitable for a low-sodium, low-potassium CKD diet.