During a home visit, the nurse is concerned that an older adult client is developing renal failure. The client has no history of cardiovascular disease. Which data in the client's assessment caused the nurse to have this concern?
Select all that apply.
A) Progressive edema
B) Complaints of hip joint pain
C) New onset of hypertension
D) Recent increase in hunger and thirst
E) Warm moist skin
Answer: A, C
The manifestations of renal failure often are missed in aging clients because edema may be attributed to heart failure or high blood pressure to preexisting hypertension. Hip joint pain is not a manifestation of renal failure in the older client. An increase in hunger and thirst could be an indication of diabetes mellitus and not renal failure in the older client. A client with renal failure will have pale dry skin with poor turgor.
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