A nurse is caring for a client with chronic renal failure. The client reports experiencing muscle cramps. What is the nurse's best action?

Provide the client with a heating pad to apply to the affected muscles.

Encourage the client to increase fluid intake.

Administer a prescribed calcium supplement.

Educate the client about the importance of potassium-rich foods.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Applying a heating pad may provide temporary relief for muscle cramps, but it does not address the underlying cause.

B. Correct. Muscle cramps in clients with chronic renal failure can be caused by dehydration and electrolyte imbalances. Encouraging the client to increase fluid intake can help alleviate muscle cramps and maintain adequate hydration.

C. Incorrect. While calcium supplements may be prescribed in certain situations, they are not the first-line intervention for muscle cramps in chronic renal failure.

D. Incorrect. Educating the client about potassium-rich foods is important for managing potassium levels, but it is not the priority in this situation. Muscle cramps are more likely related to fluid and electrolyte imbalances rather than potassium intake.

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Correct Answer is C

Explanation

A. Incorrect. A GFR value of 50 mL/min/1.73m² indicates some level of kidney dysfunction, not normal kidney function.

B. Incorrect. A GFR value of 50 mL/min/1.73m² indicates moderate kidney dysfunction, not mild impairment.

C. Correct. A GFR value of 50 mL/min/1.73m² is considered to represent moderate kidney dysfunction. This level of GFR indicates that the kidneys are not effectively filtering waste and fluids from the blood.

D. Incorrect. While a GFR value of 50 mL/min/1.73m² indicates kidney dysfunction, it does not represent severe kidney damage. Severe kidney dysfunction would have a much lower GFR value.

A. To reduce calcium absorption and prevent kidney stone formation. B. To decrease phosphate levels and prevent hyperphosphatemia. C. To improve iron absorption and manage anemia. D. To increase potassium excretion and prevent hyperkalemia.

Correct Answer is B

Explanation

A. Incorrect. Phosphate binders are not used to reduce calcium absorption. They are specifically prescribed to control phosphate levels in the blood.

B. Correct. Phosphate binders are medications that bind to dietary phosphorus in the digestive tract, preventing its absorption and reducing phosphate levels in the blood. This helps manage hyperphosphatemia, a common complication in chronic renal failure.

C. Incorrect. Phosphate binders do not improve iron absorption or manage anemia. They are not related to iron metabolism.

D. Incorrect. Phosphate binders do not affect potassium excretion. They are specific to phosphate control in the body and do not impact potassium levels.

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A nurse is caring for a client with chronic renal failure. The client reports experiencing muscle cramps. What is the nurse's best action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 50 mL/min/1.73m². How should the nurse interpret this result?

Correct Answer is C

Explanation

A nurse is caring for a client with chronic renal failure who is prescribed phosphate binders. What is the rationale for administering phosphate binders to this client?

Correct Answer is B

Explanation

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 assessing a client with chronic renal failure for fluid overload. Which finding should the nurse prioritize as an early indication of fluid retention?

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

A client with chronic renal failure asks the nurse about the cause of their frequent bone pain. Which explanation by the nurse is accurate?

A nurse is caring for a client with chronic renal failure. Which symptom should the nurse prioritize as an early clinical manifestation of kidney dysfunction?

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

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 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?