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

"The bone pain is related to the body's excess production of calcium, leading to joint inflammation."

"Chronic renal failure causes the body to retain phosphorus, which can weaken your bones and cause pain."

"Frequent bone pain is a common side effect of the medication used to manage chronic renal failure."

"The kidney dysfunction in chronic renal failure leads to low levels of calcium in your bones, resulting in bone pain."

Answer and Explanation

The Correct Answer is B

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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Correct Answer is D

Explanation

A. Incorrect. Converting the creatinine level to micromoles per liter is not necessary for the GFR calculation.

B. Incorrect. While a 24-hour urine sample can be used to measure creatinine clearance, it is not required for the GFR calculation, which can be estimated using formulas.

C. Incorrect. Calculating the body surface area is not necessary for the GFR calculation.

D. Correct. The GFR can be estimated using formulas that include the serum creatinine level, such as the Modification of Diet in Renal Disease (MDRD. formula or the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.

A. "Smoking and tobacco use have no impact on the risk of chronic renal failure." B. "Chronic renal failure is primarily caused by genetic factors, so lifestyle changes won't make a difference." C. "Having a history of kidney stones increases my risk of developing chronic renal failure." D. "Conditions like hypertension and diabetes can contribute to the development of chronic renal failure."

Correct Answer is D

Explanation

A. Incorrect. Smoking and tobacco use are harmful to the kidneys and can increase the risk of chronic renal failure.

B. Incorrect. While genetic factors may play a role in some cases of chronic renal failure, lifestyle changes can significantly impact the risk and progression of kidney disease.

C. Incorrect. While a history of kidney stones may be associated with an increased risk of kidney damage, it is not a primary risk factor for chronic renal failure.

D. Correct. Conditions such as hypertension and diabetes are two of the leading causes of chronic renal failure. Uncontrolled high blood pressure and elevated blood sugar levels can damage the blood vessels and filtering units of the kidneys, leading to chronic kidney disease over time.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is educating a client about the common risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?

Correct Answer is D

Explanation

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