If a CKD client is developing uremic encephalopathy, the earliest manifestations may include: Select all that apply
A) Decreased alertness
B) Delirium and hallucinations
C) New-onset seizures
D) Diminished awareness
Ans: A, D
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Reductions in alertness and awareness are the earliest and most significant indications of uremic encephalopathy. Late in the disease process, the client may develop delirium, coma, and seizures.
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