The nurse assessing a renal failure patient for encephalopathy caused by high uremic levels may observe which of the following clinical manifestations?
A)
Severe chest pain with pericardial friction rub on auscultation
B)
Stiff immobile joints and contractures
C)
Loss of recent memory and inattention
D)
Pruritus with yellow hue to skin tone
Ans:
C
Feedback:
Reductions in alertness and awareness are the earliest and most significant indications of uremic encephalopathy. These often are followed by an inability to fix attention, loss of recent memory, and perceptual errors in identifying people and objects. Answer choice A refers to pericarditis; answer choice B refers to arthritis; answer choice D refers to liver involvement.
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