A client with chronic renal failure reports persistent pruritus (itching). What is the nurse's best response?

"Pruritus is unrelated to chronic renal failure; it may be due to a skin condition."

"Itching is a common symptom of chronic renal failure, caused by the buildup of waste products in the blood."

"Pruritus is a side effect of the medications used to treat chronic renal failure."

"Persistent itching is a sign of an allergic reaction; let's check if you started any new medications."

Answer and Explanation

The Correct Answer is B

A. Incorrect. Pruritus (itching) is a common symptom of chronic renal failure and is related to the buildup of waste products and toxins in the blood, leading to skin irritation.

B. Correct. Pruritus is a common and distressing symptom of chronic renal failure, caused by the retention of uremic toxins in the blood. These toxins can irritate the skin and lead to itching.

C. Incorrect. While medications can sometimes cause pruritus as a side effect, it is not the primary cause of itching in clients with chronic renal failure.

D. Incorrect. Persistent pruritus in a client with chronic renal failure is not necessarily indicative of an allergic reaction to medications. It is more likely related to the buildup of waste products in the blood.

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Correct Answer is B

Explanation

A. Incorrect. Encouraging the client to drink 3 liters of fluid daily may be excessive and can contribute to fluid overload in individuals on hemodialysis. Fluid intake needs to be limited and closely monitored.

B. Correct. Monitoring the vascular access site is crucial to detect early signs of infection or clotting, which can lead to serious complications such as sepsis or thrombosis.

C. Incorrect. Phosphate binders are used to control phosphate levels in the blood and are generally taken with meals, not specifically before hemodialysis sessions.

D. Incorrect. Promoting a high-potassium diet is not appropriate for individuals on hemodialysis, as it can lead to hyperkalemia. Clients on hemodialysis typically need to restrict potassium intake.

A. "You need to fast for at least 8 hours before the test." B. "Make sure to drink plenty of water before the test to stay hydrated." C. "Avoid eating red meat and dairy products 24 hours before the test." D. "There are no special preparations needed for the GFR test."

Correct Answer is D

Explanation

A. Incorrect. Fasting is not required for a GFR test.

B. Incorrect. While staying hydrated is essential for overall health, there are no specific hydration requirements before a GFR test.

C. Incorrect. While dietary changes may be necessary for other tests, such as creatinine clearance, there are no specific dietary restrictions for the GFR test.

D. Correct. There are no special preparations needed for a GFR test. The test can be done at any time, regardless of food intake or hydration status.

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A client with chronic renal failure reports persistent pruritus (itching). What is the nurse's best response?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with chronic renal failure who is receiving hemodialysis. What should the nurse include in the client's plan of care to prevent potential complications related to hemodialysis?

Correct Answer is B

Explanation

A client with chronic renal failure is scheduled for a GFR test. The client asks the nurse if there is anything they need to do to prepare for the test. What is the nurse's best response?

Correct Answer is D

Explanation

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?

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 asks the nurse about dietary restrictions. What should the nurse emphasize as a key dietary modification for managing the condition?

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

A client with chronic renal failure presents with difficulty concentrating, irritability, and muscle cramps. Which electrolyte imbalance should the nurse suspect as the cause of these symptoms?

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?

A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports cloudy dialysate effluent during an exchange. What should the nurse do first?

A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports experiencing cloudy dialysate drainage. What should the nurse do first?