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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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