A patient with renal failure has developed uremic syndrome. While assessing this patient, the nurse would expect to note which of the following?

Decreased level of consciousness


• Uremic syndrome, also called uremia, is the accumulation of nitrogenous waste in the blood, seen in patients with chronic kidney disease or acute kidney injury. Dialysis is often required to relieve symptoms until and unless kidney function can be restored

• Uremic syndrome causes oliguria, edema, hypercalcemia, hyperkalemia, and other electrolyte imbalances, diminished mental status, and fatigue. Stomatitis (inflammation of the lips or mucosal membranes) although rare, may also be caused by uremia

• Hypocalcemia and agitation are the opposite of what is expected due to the inability of the kidneys to filter and rid the body of toxins

Visit our website for other NCLEX topics now!