Question

The patient with CKD is receiving dialysis, and the nurse observes excoriations on the patient's skin. What

pathophysiologic changes in CKD can contribute to this finding (select all that apply)?

a. Dry skin
b. Sensory neuropathy
c. Vascular calcifications
d. Calcium-phosphate skin deposits
e. Uremic crystallization from high BUN

Answer 1

Excoriations on the skin of a patient with CKD receiving dialysis can be caused by dry skin, vascular calcifications, and uremic crystallization from high BUN.

Step-by-step explanation:

Excoriations on the skin of a patient with Chronic Kidney Disease (CKD) receiving dialysis can be attributed to several pathophysiologic changes in CKD. These changes include:

1. Dry skin: CKD can lead to dry skin due to reduced oil and sweat gland function.

1. Vascular calcifications: Calcifications in the blood vessels can disrupt blood flow and impair skin health.

1. Uremic crystallization from high BUN: Uremic toxins, such as urea, can accumulate in the blood and lead to skin changes, including excoriations.