A client newly diagnosed with chronic renal failure asks the nurse about the prognosis. What is the nurse's best response?
"Chronic renal failure is irreversible, and kidney function will continue to decline over time."
"The prognosis for chronic renal failure is excellent with appropriate lifestyle changes and medications."
"With proper management, chronic renal failure can be cured, and kidney function can be fully restored."
"The prognosis varies depending on the cause and stage of chronic renal failure, but early intervention can slow the progression."
The Correct Answer is D
A. Incorrect. While chronic renal failure is often irreversible, the rate of decline in kidney function can vary depending on the underlying cause and the effectiveness of treatment and management.
B. Incorrect. While appropriate lifestyle changes and medications can improve the client's quality of life and slow the progression of the disease, chronic renal failure is a chronic condition that may require ongoing management.
C. Incorrect. Chronic renal failure is generally not curable, but proper management can help stabilize the condition and slow the progression of kidney damage.
D. Correct. The prognosis for chronic renal failure can vary widely depending on factors such as the cause of kidney disease, the stage of kidney damage, and the client's response to treatment. Early intervention, such as controlling blood pressure and blood sugar levels, can help slow the progression of kidney damage and improve long-term outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. The GFR test measures how well the kidneys are filtering waste and fluids from the blood. It is an essential indicator of kidney function and is commonly used to diagnose and stage chronic renal failure.
B. Incorrect. The volume of urine produced in 24 hours is measured through a different test called the 24-hour urine collection, not the GFR test.
C. Incorrect. While the GFR test is used to assess kidney function, it is not specific to diagnosing particular kidney diseases like glomerulonephritis.
D. Incorrect. The GFR test does not specifically assess the excretion of potassium and sodium in the urine; instead, it focuses on overall kidney function and filtration rate.
Correct Answer is A
Explanation
A. Correct. Increased blood pressure readings can be an early clinical manifestation of fluid overload in clients with chronic renal failure. Fluid retention can lead to hypertension as the kidneys struggle to excrete excess fluids.
B. Incorrect. Hyperkalemia may occur in chronic renal failure, but it is not an early clinical manifestation of fluid overload.
C. Incorrect. Dry and cracked skin is more commonly associated with dehydration rather than fluid overload.
D. Incorrect. Polyuria is not typically associated with fluid overload. Instead, it may be present in early stages of chronic renal failure due to the inability of the kidneys to concentrate urine properly.
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