A client with acute renal failure develops uremia. What clinical manifestations are associated with uremia in this client?
Increased
Hypertension and bradycardia.
Confusion, nausea, and pericarditis.
Decreased respiratory rate and shallow breathing.
The Correct Answer is C
A. Incorrect. Increased urine output and polyuria are not associated with uremia. In fact, acute renal failure often leads to decreased urine output (oliguria or anuriA. .
B. Incorrect. Hypertension and bradycardia are not typical manifestations of uremia.
C. Correct. Uremia is a condition characterized by the buildup of waste products and toxins in the blood due to impaired kidney function. Clinical manifestations of uremia include confusion (encephalopathy), nausea and vomiting, and pericarditis (inflammation of the pericardium, the sac surrounding the heart).
D. Incorrect. Decreased respiratory rate and shallow breathing are not directly associated with uremia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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 C
Explanation
A. Incorrect. While long-term use of NSAIDs can contribute to kidney damage and chronic kidney disease, it is not the primary cause of acute renal failure.
B. Incorrect. Acute renal failure is a sudden and abrupt loss of kidney function, and it is distinct from chronic kidney disease, which develops gradually over time.
C. Correct. Acute renal failure is characterized by a rapid and sudden decline in kidney function, often caused by a sudden decrease in blood flow to the kidneys (prerenal), kidney injury (intrinsiC. , or obstruction of the urinary tract (postrenal).
D. Incorrect. While UTIs and kidney stones can cause kidney injury, they are not the exclusive causes of acute renal failure, which can have various underlying etiologies.
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