Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?
Multiple life changes and hormone deficiencies
Bone demineralization and peripheral neuropathy
Impaired immune response and malnutrition
Fatigue and drug side effects
The Correct Answer is B
A. Multiple life changes and hormone deficiencies: These factors may contribute to psychological stress but do not directly increase the risk of physical injury.
B. Bone demineralization and peripheral neuropathy: Chronic renal failure often leads to bone demineralization (secondary to disrupted calcium-phosphorus metabolism) and peripheral neuropathy (due to uremic toxins), both of which increase injury risk.
C. Impaired immune response and malnutrition: These are common in chronic renal failure but are more related to infection risk than injury.
D. Fatigue and drug side effects: While fatigue and medication effects can contribute to falls, the primary causes are bone and nerve damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.5"]
Explanation
Order: 750 mg PO
Available: 0.5 g/5 mL
Convert 0.5 g to mg:
0.5g=500 mg
To calculate the volume:
Volumetoadminister= (Ordered dose /Available concentration)× Volumeperavailabledose
= (750mg /500 mg) × 5ml
= 7.5 ml
Correct Answer is B
Explanation
A. Specific gravity: Specific gravity measures urine concentration but does not directly assess renal function.
B. Creatinine: Serum creatinine levels provide the most accurate measure of renal function as they reflect the kidney’s ability to filter waste.
C. Phosphates: Phosphate levels are affected by kidney function but are not the most direct measure.
D. BUN: Blood Urea Nitrogen (BUN) can be affected by other factors like hydration and protein intake, making it less reliable than creatinine.
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