A client in acute renal failure has been admitted into the Med Surgical ICU due to hypovolemic shock. The client's family asks the nurse why the client has developed acute renal failure. The nurse's best response is?

This occurred because there was an obstruction of urine flow from the kidneys

This occurs because there was a decrease in blood flow to the kidneys

This occurred because there was structural damage to the kidneys resulting in acute tubular necrosis

This occurred because a blood cat formed in the kidneys

Answer and Explanation

The Correct Answer is B

A. Obstruction of urine flow can lead to prerenal or postrenal acute kidney injury, but hypovolemic shock is a cause of decreased blood flow to the kidneys, not obstruction.

B. Hypovolemic shock leads to decreased blood flow to the kidneys, which can cause acute renal failure. This is the most appropriate cause of acute renal failure in the context of hypovolemic shock.

C. Acute tubular necrosis is a result of prolonged ischemia or direct kidney injury and may follow decreased blood flow, but the primary cause in this case is hypovolemic shock.

D. A blood clot in the kidneys may cause acute renal failure but is not the typical cause in hypovolemic shock.

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Correct Answer is ["A","B","C"]

Explanation

A. Monitoring for warmth in the fingers of the left arm is important to assess for proper circulation through the arteriovenous fistula.

B. Wearing a wristwatch on the right arm prevents putting pressure on the left arm, where the fistula is located, which could affect its function.

C. Avoiding sleeping on the left arm helps prevent pressure on the fistula and reduces the risk of complications.

D. Blood should not be drawn from the left arm with the fistula as it could damage the fistula.

E. Blood pressure should not be taken from the left arm to avoid disrupting the fistula's function.

A. Client report of irritability B. Client report of a headaches C. Client report of weight loss D. Client report of high blood pressure

Correct Answer is D

Explanation

A. Irritability is a common side effect of steroids but is not the most concerning.

B. Headaches can occur with steroid use, but they are not as urgent unless associated with severe symptoms.

C. Weight loss is not a common concern with steroids, as they usually cause weight gain.

D. High blood pressure is a serious side effect of steroid use and should be addressed promptly to avoid cardiovascular complications.

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A client in acute renal failure has been admitted into the Med Surgical ICU due to hypovolemic shock. The client's family asks the nurse why the client has developed acute renal failure. The nurse's best response is?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. Which of the following is most important to include in the patient teaching? Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is D

Explanation

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