The nurse is planning care for a client with chronic kidney ...

[jparksx]

The nurse is planning care for a client with chronic kidney disease and osteoporosis. After reviewing the client's medical record, which is the priority nursing diagnosis for this client?
 
  A) Anxiety
  B) Disturbed Body Image
  C) Risk for Injury
  D) Risk for Bleeding

Question 2

The nurse is caring for an older adult client diagnosed with chronic kidney disease. The client reports no bowel movement in the past 2 days.
 
  Based on this data, which condition is the client at an increased risk for developing?
  A) Metabolic acidosis
  B) Hypercalcemia
  C) Increased serum creatinine levels
  D) Hyperkalemia

[millet]

Answer to Question 1

Answer: C

The client with chronic kidney disease with osteoporosis is at high risk for fractures; therefore, preventing injury is the priority nursing diagnosis. The client is at risk for anemia, but not bleeding. The client on hemodialysis may have a disturbed body image, but in this case, it is specified that the client has significant osteoporosis. Anxiety is not related to osteoporosis.

Answer to Question 2

Answer: D

Constipation exacerbates hyperkalemia, and it is important to monitor CRF clients who already have impairment of potassium. Hypokalemia is not affected by constipation. Metabolic acidosis and serum creatinine levels may not directly correlate with a decrease in the glomerular filtration rate in the elderly and are not directly affected by constipation.