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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Severe anemia in chronic renal failure is characterized by low hemoglobin levels, not elevated levels.
B. Incorrect. Chronic renal failure can lead to decreased red blood cell production, resulting in a reduced red blood cell count.
C. Correct. Chronic renal failure often leads to decreased production of erythropoietin, a hormone that stimulates red blood cell production. This deficiency results in low hematocrit levels and severe anemia.
D. Incorrect. Chronic renal failure is not typically associated with elevated platelet counts; in fact, it can lead to platelet dysfunction and an increased risk of bleeding.
QUESTIONS
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.