A client with chronic renal failure asks the nurse about dietary recommendations to manage their condition. What should the nurse include in the response?

"You should increase your protein intake to maintain muscle mass."

"Limit your fluid intake to prevent dehydration and overload on your kidneys."

"Include high-potassium foods in your diet to support kidney function."

"Consume foods high in phosphorus to promote bone health."

Answer and Explanation

The Correct Answer is B

A. Incorrect. In chronic renal failure, the kidneys may have difficulty processing excess protein, so protein intake should be limited to reduce the workload on the kidneys.

B. Correct. Limiting fluid intake is crucial in managing chronic renal failure. The kidneys' reduced ability to filter waste products can lead to fluid retention and electrolyte imbalances, so restricting fluid intake helps prevent overload and complications.

C. Incorrect. In chronic renal failure, high-potassium foods should be limited to prevent hyperkalemia, a condition in which potassium levels in the blood become too high.

D. Incorrect. Foods high in phosphorus should be restricted in chronic renal failure because the kidneys may have difficulty excreting excess phosphorus, leading to hyperphosphatemia, which can contribute to bone and mineral disorders.

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Correct Answer is D

Explanation

A. Incorrect. Hyperthyroidism is not a known risk factor for chronic renal failure. However, uncontrolled thyroid disease may contribute to cardiovascular issues that can impact kidney health.

B. Incorrect. Peptic ulcer disease is not a risk factor for chronic renal failure.

C. Incorrect. Chronic obstructive pulmonary disease (COPD. is not directly associated with an increased risk of chronic renal failure. However, chronic illnesses can place additional stress on the kidneys over time.

D. Correct. Hypertension, or high blood pressure, is a significant risk factor for chronic renal failure. Long-term uncontrolled hypertension can damage the blood vessels in the kidneys, leading to chronic kidney disease.

A. "The bone pain is related to the body's excess production of calcium, leading to joint inflammation." B. "Chronic renal failure causes the body to retain phosphorus, which can weaken your bones and cause pain." C. "Frequent bone pain is a common side effect of the medication used to manage chronic renal failure." D. "The kidney dysfunction in chronic renal failure leads to low levels of calcium in your bones, resulting in bone pain."

Correct Answer is B

Explanation

A. Incorrect. Excess production of calcium in the body is not a typical cause of bone pain in chronic renal failure.

B. Correct. Chronic renal failure can lead to impaired phosphorus excretion, resulting in elevated levels of phosphorus in the blood. High phosphorus levels can lead to bone demineralization, weakening the bones and causing bone pain.

C. Incorrect. While some medications used in the management of chronic renal failure may have side effects, frequent bone pain is not commonly associated with these medications.

D. Incorrect. Kidney dysfunction in chronic renal failure does not typically lead to low levels of calcium in the bones. Instead, it can lead to abnormalities in phosphorus levels, which affect bone health.

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A client with chronic renal failure asks the nurse about dietary recommendations to manage their condition. What should the nurse include in the response?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's risk factors for chronic renal failure. Which medical condition should the nurse recognize as a significant risk factor for kidney disease?

Correct Answer is D

Explanation

A client with chronic renal failure asks the nurse about the cause of their frequent bone pain. Which explanation by the nurse is accurate?

Correct Answer is B

Explanation

A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?

A nurse is educating a client about the impact of cardiovascular disease on kidney health. Which statement made by the client demonstrates understanding?

A client with chronic renal failure is prescribed hemodialysis three times a week. The client expresses concerns about the potential impact on their lifestyle. What is the nurse's best response?

A nurse is reviewing the GFR calculation for a client with chronic renal failure. The client's serum creatinine level is 2.5 mg/dL. What should the nurse do next?

A nurse is assessing a client with chronic renal failure. Which clinical manifestation should the nurse recognize as a common early symptom of kidney dysfunction?

A nurse is instructing a client with chronic renal failure about medication adherence. The client asks why it is essential to take medications as prescribed. How should the nurse respond?

A client with chronic renal failure asks the nurse about the purpose of a GFR (glomerular filtration ratE. test. What is the nurse's best response?

A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?