A client is admitted to the hospital with suspected acute renal failure. What initial assessment finding should the nurse anticipate in this client?
Elevated blood pressure and increased urine output.
Low blood pressure and decreased urine output.
No changes in blood pressure and stable urine output.
High blood sugar levels and frequent urination.
The Correct Answer is B
A. Incorrect. Elevated blood pressure is not typically an initial assessment finding in acute renal failure. In fact, it is more common to see low blood pressure (hypotension) due to decreased blood flow to the kidneys.
B. Correct. One of the hallmark manifestations of acute renal failure is decreased urine output (oliguriA. or even no urine output (anuriA. . This is often accompanied by low blood pressure as a result of decreased kidney function.
C. Incorrect. Acute renal failure usually leads to changes in blood pressure and urine output. Stable blood pressure and urine output are not typical initial assessment findings in this condition.
D. Incorrect. High blood sugar levels and frequent urination are not directly related to acute renal failure. These symptoms are more characteristic of diabetes mellitus.
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Related Questions
Correct Answer is B
Explanation
A. Incorrect. A complete blood count (CBC. provides information about the number and types of blood cells but does not assess kidney function.
B. Correct. Serum creatinine level is a commonly used blood test to assess kidney function. Elevated levels of creatinine in the blood indicate impaired glomerular filtration and decreased kidney function.
C. Incorrect. Urinalysis provides information about the presence of substances such as protein, blood, and glucose in the urine but does not directly assess GFR.
D. Incorrect. Renal ultrasound is an imaging test that provides information about the structure of the kidneys but does not directly measure GFR.
Correct Answer is A
Explanation
A. Correct. Hypertension (high blood pressurE. is a significant risk factor for the development of acute renal failure. Elevated blood pressure can damage the blood vessels in the kidneys and impair kidney function.
B. Incorrect. Osteoporosis is not directly related to the development of acute renal failure. Osteoporosis is a condition characterized by weak and brittle bones.
C. Incorrect. While type 2 diabetes is a risk factor for chronic kidney disease, it is not a common risk factor for the development of acute renal failure.
D. Incorrect. Seasonal allergies are not associated with an increased risk of acute renal failure.
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