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 B
Explanation
A. Incorrect. While physical activity is essential for overall health, the client's fatigue may be related to anemia, not lack of physical activity.
B. Correct. Fatigue and lethargy are common symptoms of anemia, which is a common complication of chronic renal failure. Iron supplements can help address anemia-related fatigue.
C. Incorrect. Increasing protein intake may not directly address the underlying cause of the client's fatigue, which is likely anemia.
D. Incorrect. Caffeine-containing beverages can contribute to fluid overload and hypertension in chronic renal failure and are not a suitable intervention for addressing fatigue.
Correct Answer is D
Explanation
A. Incorrect. Administering an antiemetic medication may help relieve nausea, but it is not the priority action in a client with chronic renal failure experiencing anorexia and nausea.
B. Incorrect. Encouraging the client to increase protein intake is not appropriate if they are experiencing anorexia and nausea. Protein intake may need to be adjusted based on the client's symptoms and kidney function.
C. Incorrect. While assessing serum electrolyte levels is important in chronic renal failure, it is not the priority action in this situation. The client's anorexia and nausea require immediate attention.
D. Correct. Monitoring the client's weight and fluid intake is the priority action when the client is experiencing anorexia and nausea. These symptoms may indicate fluid and electrolyte imbalances that need to be addressed promptly.
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