Which of the following clinical findings would the nurse look for in a patient with chronic renal failure?
A) Hypotension
B) Uremia
C) Metabolic alkalosis
D) Polycythemia
Ans: B
Feedback: Uremia is the buildup of nitrogenous wastes in the blood, evidenced by elevated
blood urea, nitrogen, and creatine levels. Uremia, anemia, and acidosis are consistent clinical manifestations of chronic renal failure. Metabolic acidosis results from the inability to excrete hydrogen ions. Anemia results from a lack of erythropoietin. Hypertension (from fluid overload) may or may not be present in chronic renal failure. Hypotension, metabolic alkalosis, and polycythemia aren't present in renal failure.
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