37. A nurse would know that a client was experiencing chronic renal failure (CRF) if which signs or symptoms were present?
37. A nurse would know that a client was experiencing chronic renal failure (CRF) if which signs or symptoms were present?
. Nausea and vomiting.
. Asterixis and ascites.
. Kussmaul's breathing and drowsiness.
. Pruritus and anemia.
Test-Taking Tip
Look for an option that would develop over time—weeks to months (i.e., chronic)—and would occur if the kidneys have failed.
Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
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Answer 1 is incorrect because nausea and vomiting are not specific to CRF. A client with CRF may have nausea and vomiting along with anorexia and hiccups. Answer 2 is incorrect because these signs are consistent with hepatic failure. Answer 3 is incorrect because these signs would occur during acute renal failure or with any developing metabolic acidosis.Answer 4 is correct because the irritating toxins are accumulating and result in skin irritation. Anemia results from the inadequate erythropoietin production.