Which nursing intervention is appropriate for a client with end-stage renal failure experiencing pruritus due to uremic frost?

Which nursing intervention is appropriate for a client with end-stage renal failure experiencing pruritus due to uremic frost?

• A. Apply emollients to the skin
• B. Increase protein in the diet
• C. Cut fingernails short
• D. Provide mouth care prior to meals

Answer: (A)

Pruritus from uremic frost in end-stage renal failure is largely driven by severely dry, irritated skin. The most effective nursing intervention is to apply emollients to restore moisture, protect the skin barrier, and reduce itching. Using bland, fragrance-free moisturizers after bathing helps soften the skin and lessen the urge to scratch, which can prevent skin breakdown and infection.

Increasing protein in the diet would worsen the underlying renal failure and its symptoms, so it doesn’t address the itching. Cutting fingernails short is helpful to minimize damage from scratching, but it doesn’t relieve the dry skin itself. Providing mouth care prior to meals is important for oral hygiene, not for itching or skin integrity.