Practice Question
A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply.).
Answer Choices:
Correct Answer:
Pruritus
Rationale:
🟧 Pruritus (Itching)
🔹Caused by uremic toxin buildup and hyperphosphatemia.
🔹Common due to calcium-phosphate imbalances and dry skin.
🔹Often resistant to treatment until dialysis begins.
🟧 Bone Pain
🔹Results from renal osteodystrophy (calcium/vitamin D dysregulation).
🔹Linked to secondary hyperparathyroidism and phosphate retention.
🔹May lead to fractures if untreated.
🟧Slurred Speech (Uremic Encephalopathy)
🔹Occurs due to toxin accumulation (e.g., urea, creatinine) affecting the CNS.
🔹Indicates advanced uremia, requiring urgent dialysis.
🔹May progress to seizures or coma if untreated.
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This question is from RN ATI MedSurg Exam V which contains 90 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 5