Chronic Kidney Failure NCLEX questions with correct answers

You are teaching the patient with chronic kidney disease about what symptoms to report to the doctor when outside of the hospital. Which statement, if made by the patient, indicates correct understanding? A) "I should call my doctor if my stomach starts feeling sick or my breath smells funny like pea" B) "Muscle weakness and abdominal cramps are a sign of worsening condition and I should report this to my doctor" C) "My doctor wants me to call him if I feel a vibrating or buzzing sensation over my hemodialysis graft. D) "I should call immediately if I see swelling at my dialysis port" - Answer Answer: C. The patient should be taught to call the doctor if he/she does NOT find a thrill over this graft as this indicates that the graft may no longer by patent. Nausea/vomiting and uric breath (smells like urine/ammonia) should be reported to the physician as this is a sign of worsening renal function. Muscle weakness and abdominal cramps are signs of hyperkalemia which could lead to life threatening arrhythmias. Swelling or redness at the dialysis port would be a sign of infection which should be reported. Nurse Shelby is preparing to administer selvemer hydrochloride (Renagel) to the patient with CKF (Chronic Kidney Disease). Which of the following does the nurse know to be true? A) This medication should be given on an empty stomach B) It is used to treat hyperphosphatemia C) To administer at bedtime D) Renagel can be used to help with hypercalcemia - Answer Answer: D. Renegal is a phosphate binder and is used to help lower calcium levels. It is also given if the calcium-phosphorous product is elevated (over 55). Calcium and Phosphate binders should be given with food. This me