In CKD Stage 3, which consideration is important for nursing management?

• A. Ignore electrolyte changes.
• B. Increase nephrotoxic medications as needed.
• C. Schedule dialysis immediately.
• D. Monitor electrolytes and adjust medications.

Answer: (D)

In CKD stage 3, the kidneys still function but are less able to regulate electrolytes and excrete waste, so the core nursing task is ongoing monitoring of electrolyte levels and adjusting medications to prevent dangerous imbalances and drug toxicity. This approach directly addresses the most common and potentially life-threatening issues in this stage, such as hyperkalemia, metabolic acidosis, and phosphate retention, by guiding timely changes in treatment—whether that means tweaking doses of renally cleared drugs, choosing alternatives, or implementing dietary and medication adjustments to maintain balance. Dialysis is not something to schedule immediately in stage 3; it’s reserved for when there are clear indications like refractory fluid overload, severe electrolyte disturbances, or uremic symptoms. Ignoring electrolyte changes or increasing nephrotoxic medications would worsen kidney function and risk complications, so monitoring electrolytes and adjusting medications represents the safest, most proactive management at this stage.