A patient with chronic kidney disease is experiencing severe pruritus and signs of hypocalcemia. What intervention would address both the symptoms and underlying cause?

Correct Answer: A

Rationale: Rationale: Administering vitamin D supplements is the correct intervention for a patient with chronic kidney disease experiencing pruritus and signs of hypocalcemia. Vitamin D helps in calcium absorption and regulation, addressing the underlying cause of hypocalcemia. By increasing calcium levels, pruritus can also be alleviated. Summary: A: Administering vitamin D supplements is correct as it addresses both symptoms and the underlying cause. B: Prescribing a high-phosphate diet would worsen the condition as excess phosphate can further decrease calcium levels. C: Providing diuretics to reduce fluid retention does not address the hypocalcemia or pruritus. D: Increasing oral calcium intake through supplements may be harmful without addressing the underlying cause of hypocalcemia.

Correct Answer: D

Rationale: For a 5'9" female, the rule-of-thumb method (100 lb for 5 ft + 5 lb per inch over) gives 145 lb (100 + 9*5 = 145).

Correct Answer: A

Rationale: Fiber binds cholesterol in the gut, increasing its excretion and lowering blood cholesterol.

Correct Answer: D

Rationale: Nutrient needs stabilize in adulthood, unlike infancy, adolescence, or pregnancy, which have higher demands.

Correct Answer: B

Rationale: MyPyramid recommends whole grains for fiber and nutrients.