A client with chronic renal failure is prescribed calcitriol (active form of vitamin D. to manage calcium and phosphate levels. The client asks the nurse about the purpose of this medication. How should the nurse respond?

"Calcitriol is given to enhance your appetite and improve nutrition."

"This medication helps prevent kidney stones by increasing urine output."

"Calcitriol is used to lower your blood pressure and reduce strain on your kidneys."

"It helps regulate calcium and phosphate levels to maintain bone health."

Answer and Explanation

The Correct Answer is D

A. Incorrect. Calcitriol is not given to enhance appetite or improve nutrition. Its primary role is in regulating calcium and phosphate levels.

B. Incorrect. Calcitriol does not directly impact urine output or prevent kidney stones.

C. Incorrect. While some medications may be prescribed to manage blood pressure in chronic renal failure, calcitriol is not one of them.

D. Correct. Calcitriol is the active form of vitamin D and plays a crucial role in regulating calcium and phosphate levels in the body. It helps maintain bone health by promoting the absorption of calcium from the digestive tract and preventing bone demineralization.

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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.

A. "Take the phosphate binders with meals to maximize their effectiveness." B. "Phosphate binders can cause constipation, so drink plenty of fluids." C. "Avoid taking phosphate binders with calcium supplements to prevent interactions." D. "Phosphate binders can lower potassium levels, so monitor your potassium intake."

Correct Answer is A

Explanation

A. Correct. Phosphate binders are most effective when taken with meals because they bind to dietary phosphorus, preventing its absorption in the digestive tract.

B. Incorrect. While constipation can be a side effect of some phosphate binders, drinking plenty of fluids is not directly related to this issue.

C. Incorrect. Phosphate binders should be taken with meals, and calcium supplements should be taken separately to prevent interactions between the two medications.

D. Incorrect. Phosphate binders do not typically lower potassium levels, and monitoring potassium intake is not specifically related to their use.

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A client with chronic renal failure is prescribed calcitriol (active form of vitamin D. to manage calcium and phosphate levels. The client asks the nurse about the purpose of this medication. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

A client with chronic renal failure is prescribed phosphate binders. What should the nurse include in the client's education about taking phosphate binders?

Correct Answer is A

Explanation

A nurse is caring for a client with chronic renal failure who complains of "pins and needles" sensation in their hands and feet. What should the nurse recognize as the possible cause of this symptom?

A client with chronic renal failure reports experiencing frequent muscle cramps. What should the nurse recommend as an appropriate intervention to alleviate this symptom?

A client asks the nurse about the role of diabetes in the development of chronic renal failure. What is the nurse's best response?

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A client with chronic renal failure is experiencing periorbital edema and swelling of the ankles and feet. Which complication should the nurse suspect based on these clinical manifestations?

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

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