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?
Fatigue and weakness
Hematuria (blood in the urinE.
Shortness of breath and chest pain
Hyperkalemia (elevated potassium levels)
The Correct Answer is A
A. Correct. Fatigue and weakness are early clinical manifestations of chronic renal failure, often due to anemia and the accumulation of waste products in the blood.
B. Incorrect. Hematuria may be present in some cases of kidney dysfunction, but it is not typically an early symptom of chronic renal failure.
C. Incorrect. Shortness of breath and chest pain are more likely to be associated with fluid overload or cardiac issues, which may occur in advanced stages of chronic renal failure.
D. Incorrect. Hyperkalemia is a complication of chronic renal failure but may not be an early clinical manifestation. It is more likely to occur as kidney function declines and potassium excretion becomes impaired.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A. Incorrect. Calcitriol is not given to enhance appetite or improve nutrition. Its primary role is in regulating calcium and phosphate levels.
B. Incorrect. Calcitriol does not directly impact urine output or prevent kidney stones.
C. Incorrect. While some medications may be prescribed to manage blood pressure in chronic renal failure, calcitriol is not one of them.
D. Correct. Calcitriol is the active form of vitamin D and plays a crucial role in regulating calcium and phosphate levels in the body. It helps maintain bone health by promoting the absorption of calcium from the digestive tract and preventing bone demineralization.
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