A client with acute kidney injury states, "Why am I twitching and my fingers and toes tingling?" Which
process should the nurse consider when formulating
... [Show More] a response to this client?
1
Acidosis
Correct2 Calcium depletion
Incorrect3 Potassium retention
4
Sodium chloride depletion
In kidney failure, as the glomerular filtration rate decreases, phosphorus is retained. As hyperphosphatemia
occurs, calcium is excreted. Calcium depletion hypocalcemia causes tetany, which causes twitching and
tingling of the extremities, among other symptoms. Acidosis, potassium retention, and sodium chloride
depletion are not characterized by twitching and tingling of the extremities.
30.
A nurse is caring for a client receiving hemodialysis for chronic kidney disease. The nurse should monitor the
client for which complication?
Incorrect1
Peritonitis
Correct2
Hepatitis B
3
Renal calculi
4
Bladder infection
Hepatitis type B [1] [2] is transmitted by blood or blood products. The hemodialysis and routine transfusions
needed for a client in end-stage renal failure constitute a high risk for exposure. Peritonitis is a danger for
individuals receiving peritoneal dialysis. Renal calculi are not a complication of hemodialysis; they often occur
in clients who are confined to prolonged bed rest. Dialysis does not involve the bladder and will not contribute
to the development of a bladder infection.
32.
A client with the diagnosis of chronic kidney disease develops hypocalcemia. Which clinical manifestations
should the nurse expect the client with hypocalcemia to exhibit? Select all that apply.
Incorrect1
Acidosis
2
Lethargy
Correct3
Fractures
Correct4
Osteomalacia
Correct5
Eye calcium deposits
Because of calcium loss from the bone, fractures, osteomalacia, and eye calcium deposits occur. Acidosis
decreases calcium that binds to albumin, resulting in more ionized calcium (free calcium) in the blood.
Lethargy and weakness are associated with hypercalcemia. [Show Less]