Certified Dialysis Nurse Practice Test

In the context of end-stage renal disease (ESRD), the accumulation of uremic toxins due to diminished kidney function can lead to a variety of symptoms. Diarrhea can be a manifestation of this condition, as it may arise from disturbances in the gastrointestinal tract that result from the toxic effects of uremia. These toxins can interfere with normal digestive processes, potentially leading to symptoms like diarrhea.

Other symptoms associated with uremic syndrome often include nausea, vomiting, fatigue, and alterations in mental status. While gastrointestinal manifestations are common, diarrhea specifically reflects the impact of uremic toxins on the patient’s digestion and bowel function.

The other symptoms listed do not directly correlate with the accumulation of uremic toxins. Fever may be indicative of infection rather than uremia. Frequent urination typically reflects issues related to fluid balance or other renal conditions but does not align with the symptoms of uremia in ESRD patients, who often experience oliguria or anuria. Dry skin, while a possible symptom in ESRD patients, is often more related to fluid and electrolyte imbalances rather than direct effects of uremic toxins. Thus, diarrhea stands out as a more direct indicator of the presence of uremic toxins in the context of ESR