NCLEX-RN

Answer: C - Clients with chronic kidney disease may suffer from bone loss in the jaw, as evidenced by tooth loss. Dental problems are common in these clients because of calcium and phosphorus imbalances. Since the kidneys can no longer produce calcitriol that helps the body absorb calcium and phosphorus from food, PTH (parathyroid hormone) increases, leading to bone resorption. Tooth decay and gum disease primarily result from poor dental hygiene and not because of CKD. Gum disease is manifested by inflamed or bleeding gums.