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

"The bone pain is related to the body's excess production of calcium, leading to joint inflammation."

"Chronic renal failure causes the body to retain phosphorus, which can weaken your bones and cause pain."

"Frequent bone pain is a common side effect of the medication used to manage chronic renal failure."

"The kidney dysfunction in chronic renal failure leads to low levels of calcium in your bones, resulting in bone pain."

Answer and Explanation

The Correct Answer is B

A. Incorrect. Excess production of calcium in the body is not a typical cause of bone pain in chronic renal failure.

B. Correct. Chronic renal failure can lead to impaired phosphorus excretion, resulting in elevated levels of phosphorus in the blood. High phosphorus levels can lead to bone demineralization, weakening the bones and causing bone pain.

C. Incorrect. While some medications used in the management of chronic renal failure may have side effects, frequent bone pain is not commonly associated with these medications.

D. Incorrect. Kidney dysfunction in chronic renal failure does not typically lead to low levels of calcium in the bones. Instead, it can lead to abnormalities in phosphorus levels, which affect bone health.

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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.

A. The client has mild kidney impairment. B. The client's kidneys are severely damaged. C. The client has moderate kidney dysfunction. D. The client has normal kidney function.

Correct Answer is B

Explanation

A. Incorrect. A GFR value of 10 mL/min/1.73m² indicates severe kidney dysfunction, not mild impairment.

B. Correct. A GFR value of 10 mL/min/1.73m² is considered very low and indicates severe kidney dysfunction. At this level, the kidneys are severely damaged and unable to effectively filter waste and fluids from the blood.

C. Incorrect. A GFR value of 10 mL/min/1.73m² is much lower than the threshold for moderate kidney dysfunction.

D. Incorrect. A GFR value of 10 mL/min/1.73m² is far below the normal range and indicates significant kidney dysfunction, not normal kidney function.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

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?

Correct Answer is B

Explanation

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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?

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