A nurse is assessing a client with chronic renal failure. Which clinical manifestation should the nurse recognize as a common early symptom of kidney dysfunction?

Peripheral edema and weight gain

Frothy urine and increased urination

Hypertension and headache

Fatigue and decreased appetite

Answer and Explanation

The Correct Answer is D

A. Incorrect. Peripheral edema and weight gain are more commonly associated with fluid retention in later stages of chronic renal failure when the kidneys are unable to effectively remove excess fluids from the body.

B. Incorrect. Frothy urine and increased urination may indicate proteinuria, a condition where excessive protein is excreted in the urine. While proteinuria can be a symptom of kidney dysfunction, it is not an early symptom.

C. Incorrect. Hypertension and headache can be associated with chronic renal failure, but they are not specific to early stages of kidney dysfunction.

D. Correct. Fatigue and decreased appetite are early clinical manifestations of kidney dysfunction in chronic renal failure. The kidneys play a vital role in filtering waste products and toxins from the blood, and when kidney function is compromised, it can lead to a buildup of waste products in the body, causing fatigue and decreased appetite.

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Correct Answer is D

Explanation

A. Incorrect. Administering an antiemetic medication may help relieve nausea, but it is not the priority action in a client with chronic renal failure experiencing anorexia and nausea.

B. Incorrect. Encouraging the client to increase protein intake is not appropriate if they are experiencing anorexia and nausea. Protein intake may need to be adjusted based on the client's symptoms and kidney function.

C. Incorrect. While assessing serum electrolyte levels is important in chronic renal failure, it is not the priority action in this situation. The client's anorexia and nausea require immediate attention.

D. Correct. Monitoring the client's weight and fluid intake is the priority action when the client is experiencing anorexia and nausea. These symptoms may indicate fluid and electrolyte imbalances that need to be addressed promptly.

A. "Calcitriol is given to enhance your appetite and improve nutrition." B. "This medication helps prevent kidney stones by increasing urine output." C. "Calcitriol is used to lower your blood pressure and reduce strain on your kidneys." D. "It helps regulate calcium and phosphate levels to maintain bone health."

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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A nurse is assessing a client with chronic renal failure. Which clinical manifestation should the nurse recognize as a common early symptom of kidney dysfunction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure is experiencing anorexia and nausea. What is the nurse's priority action?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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 experiencing periorbital edema and swelling of the ankles and feet. Which complication should the nurse suspect based on these clinical manifestations?

A client newly diagnosed with chronic renal failure asks the nurse about the prognosis. What is the nurse's best response?

A nurse is teaching a client about the risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?

A nurse is caring for a client with chronic renal failure. The client's GFR test result is 60 mL/min/1.73m². How should the nurse interpret this result?

A nurse is caring for a client with chronic renal failure who complains of "pins and needles" sensation in their hands and feet. What should the nurse recognize as the possible cause of this symptom?

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 nurse is educating a client about the common risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?