Medical MCQ - Your patient with chronic renal failure reports pruritus. Which instruction should you include in this patient’s teaching plan?

Your patient with chronic renal failure reports pruritus. Which instruction should you include in this patient’s teaching plan?

Rub the skin vigorously with a towel

Take frequent baths

Apply alcohol-based emollients to the skin

Keep fingernails short and clean

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Correct Answer:

Keep fingernails short and clean

Description:

Calcium-phosphate deposits in the skin may cause pruritus. Scratching leads to excoriation and breaks in the skin that increase the patient’s risk of infection. Keeping fingernails short and clean helps reduce the risk of infection.

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