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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Incorrect. Converting the creatinine level to micromoles per liter is not necessary for the GFR calculation.
B. Incorrect. While a 24-hour urine sample can be used to measure creatinine clearance, it is not required for the GFR calculation, which can be estimated using formulas.
C. Incorrect. Calculating the body surface area is not necessary for the GFR calculation.
D. Correct. The GFR can be estimated using formulas that include the serum creatinine level, such as the Modification of Diet in Renal Disease (MDRD. formula or the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.
Correct Answer is D
Explanation
A. Incorrect. Calcium-based phosphate binders should not be taken with milk or calcium-rich foods, as this can lead to an excessive calcium load and increase the risk of hypercalcemia.
B. Incorrect. Calcium-based phosphate binders are most effective when taken with meals to bind to dietary phosphorus.
C. Incorrect. While vitamin D plays a role in calcium metabolism, its supplementation is not directly related to the use of calcium-based phosphate binders.
D. Correct. Constipation is a common side effect of calcium-based phosphate binders. Increasing fluid intake can help alleviate constipation and promote bowel regularity.
Questions
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.