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 B

Explanation

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.

A. Encourage the client to drink at least 3 liters of fluid daily. B. Monitor the client's vascular access site for signs of infection or clotting. C. Administer phosphate binders before hemodialysis sessions to control phosphorus levels. D. Promote a high-potassium diet to maintain appropriate electrolyte balance.

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.

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

Correct Answer is B

Explanation

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 prescribed phosphate binders. What should the nurse include in the client's education about taking phosphate binders?

A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?

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?

A nurse is caring for a client with chronic renal failure who is at risk for hyperkalemia. Which dietary modification should the nurse recommend to the client to reduce potassium intake?

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 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 nurse is instructing a client with chronic renal failure about medication adherence. The client asks why it is essential to take medications as prescribed. How should the nurse respond?

A client with chronic renal failure is concerned about the discomfort associated with the GFR test. What should the nurse do to address the client's concern?