Question

For a patient with CKD the nurse identifies a nursing diagnosis of risk for injury: fracture related to alterations

in calcium and phosphorus metabolism. What is the pathologic process directly related to the increased risk for fractures?

a. Loss of aluminum through the impaired kidneys
b. Deposition of calcium phosphate in soft tissues of the body
c. Impaired vitamin D activation resulting in decreased GI absorption of calcium
d. Increased release of parathyroid hormone in response to decreased calcium levels

Answer 1

The increased risk for fractures in a patient with CKD and altered calcium and phosphorus metabolism is directly related to the deposition of calcium phosphate in soft tissues of the body.

Step-by-step explanation:

The pathologic process directly related to the increased risk for fractures in a patient with CKD and altered calcium and phosphorus metabolism is the deposition of calcium phosphate in soft tissues of the body. In CKD, there is a disruption in the balance of calcium and phosphorus, leading to decreased calcium levels and increased phosphate levels in the blood. This imbalance can result in the deposition of calcium phosphate in soft tissues, including the bones, making them more prone to fractures.