Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What dietary modifications should a patient with hypokalemic periodic paralysis consider?

1. Increase protein intake

2. Avoid high carb meals

3. Eliminate lactose products

4. Consume more potassium-rich foods

The correct answer is: Avoid high carb meals

For a patient with hypokalemic periodic paralysis, the most beneficial dietary modification involves an increased consumption of potassium-rich foods. This condition is characterized by recurrent episodes of muscle weakness and paralysis, which are related to fluctuations in potassium levels in the body. During an episode of hypokalemia, low potassium levels can lead to significant muscle dysfunction. Incorporating more potassium-rich foods into the diet helps maintain sufficient potassium levels, potentially reducing the frequency and severity of paralysis episodes. Foods high in potassium include bananas, oranges, potatoes, spinach, and avocados, among others. These dietary adjustments help to manage potassium levels effectively and support muscle function. While avoiding high carb meals may appear to be a reasonable strategy in some cases, it does not address the underlying need for potassium in the context of hypokalemic periodic paralysis. Therefore, the focus should be on potassium intake rather than a blanket avoidance of carbohydrates. In summary, implementing a diet rich in potassium can help stabilize muscle function and minimize the risk of paralysis, making this the optimal choice for managing hypokalemic periodic paralysis.