Manifestations of Chronic Kidney Disease

Question 1

Why is it so important to know what caused your patient’s CKD?

Answer 1

So the nurse and PCT can inquire about possible problems during data collection and asssessment

Question 2

What are the signs and symptoms of Fluid Imbalance?

Answer 2

-hypertension
- Edema
- Shortness of breath

Question 3

Why is sodium balance so important?

Answer 3

Leads to volume expansion, increased CO, increased peripheral vascular resistance, and increased BP

Question 4

What would you advise for a patient who complains of Dry, itchy skin?

Answer 4

Use hyper-fatty soaps and lotions
caution patient: safety at home, provide emotional support, control diabetes and phosphorus

Question 5

What would you advise for a patient suffering from Peripheral Neuropathy (nerve pain in the extremities)?

Answer 5

Monitor patient for changes in motor function decreased strength in legs, C/O restless legs, burning feet.
Advise patient not to walk barefoot, have good foot care practices.

Question 6

What would you advise for a CKD patient suffering from GI problems (nausea/ vomitting)?

Answer 6

Inform RN and physician of any bleeding problems/ constipation/ diarrhea/ ER visits, take meds as ordered i.e stool softeners/imodium

Question 7

What would you advise for a CKD patient suffering from psychological problems (anxiety/depression)?

Answer 7

Verbalize struggles to IDT (core team) esp. the social worker.