NCLEX-PN® ExaminationBasic Care and ComfortMedium
A client with chronic kidney disease on hemodialysis reports persistent itching (pruritus). Which non-pharmacological intervention should the LPN recommend to help alleviate the client's discomfort?
- AApply alcohol-based lotions after bathing.
- BWear loose-fitting, cotton clothing.
- CIncrease intake of foods high in phosphorus.
- DTake hot showers frequently to cleanse the skin.
Show answer & explanationAnswer & explanation
Correct answer: B. Wear loose-fitting, cotton clothing.
Loose-fitting, cotton clothing helps reduce skin irritation and friction, which can exacerbate pruritus in clients with chronic kidney disease. Hot showers and alcohol-based lotions can dry the skin, worsening itching, and increased phosphorus intake contributes to the underlying cause of uremic pruritus.
Why the other options are wrong
- A. Alcohol-based lotions can further dry and irritate the skin, intensifying pruritus.
- C. Increased phosphorus intake can worsen hyperphosphatemia, a common cause of uremic pruritus, and should be avoided.
- D. Hot showers can dry the skin and worsen itching, especially for clients with uremic pruritus.
Uremic Pruritus Management
Uremic pruritus, or itching associated with kidney disease, can be managed with non-pharmacological interventions aimed at skin hydration, irritation reduction, and environmental control.
- Avoid skin irritants (hot water, harsh soaps).
- Moisturize skin regularly.
- Wear breathable, non-restrictive clothing.
Memory trick: Cool Clothes Calm Chronic Kidney Itch.