A chronic kidney disease (CKD) client asks the nurse, "Why do I itch all the time?" The nurse bases her response on which of the following integumentary physiologic factors that causes pruritis? Select all that apply
A) Too harsh of soap while bathing
B) Decrease in perspiration
C) Limited sodium intake
D) Enlarged size of sweat glands
E) Elevated serum phosphate levels
Ans: B, E
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Dry, itchy skin is a common consequence of CKD. Pruritus is common; it results from the high serum phosphate levels and the development of phosphate crystals that occur with hyperparathyroidism. Harsh soap (may dry the skin), limited Na+ intake, and enlarged sweat glands are not noted to accompany or result in pruritus.
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