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. 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. "You should avoid touching the dialysis catheter site to prevent infection." B. "You will need to weigh yourself daily and record your weight in a log." C. "Peritoneal dialysis requires frequent visits to the dialysis center for treatments." D. "You can administer pain medication before starting the dialysis exchange."

Correct Answer is A

Explanation

A. Correct. Touching the dialysis catheter site increases the risk of infection, and clients receiving peritoneal dialysis must practice meticulous catheter care to minimize this risk.

B. Incorrect. While daily weight monitoring is essential for clients on peritoneal dialysis, it is not specifically related to peritoneal dialysis care.

C. Incorrect. Peritoneal dialysis is a home-based treatment, and the client performs the dialysis exchanges themselves. There is no need for frequent visits to the dialysis center.

D. Incorrect. Pain medication is not typically needed before starting a peritoneal dialysis exchange, as the procedure itself is not painful. Proper technique and sterile care are the main focus of peritoneal dialysis education.

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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 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 nurse is providing discharge education to a client with chronic renal failure who will be receiving peritoneal dialysis at home. What should the nurse include in the client's education about peritoneal dialysis care?

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?

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A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 10 mL/min/1.73m². How should the nurse interpret this result?

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