A client with acute renal failure is experiencing fluid overload. What intervention should the nurse implement to manage the client's fluid balance effectively?

Encourage the client to increase sodium intake.

Limit fluid intake to the prescribed amount.

Administer intravenous fluids rapidly to replace lost fluids.

Encourage the client to drink water freely to promote diuresis.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Increasing sodium intake would exacerbate fluid retention and worsen the client's fluid overload.

B. Correct. Limiting fluid intake to the prescribed amount helps manage fluid balance in clients with acute renal failure, especially those experiencing fluid overload.

C. Incorrect. Rapid administration of intravenous fluids may worsen fluid overload and increase the risk of edema and hypertension.

D. Incorrect. Encouraging the client to drink water freely would exacerbate fluid overload and impair the body's ability to eliminate excess fluids.

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Correct Answer is A

Explanation

A. Correct. Nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, are known to cause kidney damage and are a common cause of intrinsic acute renal failure, especially when used in high doses or for extended periods.

B. Incorrect. Loop diuretics, such as furosemide, are not typically associated with intrinsic acute renal failure.

C. Incorrect. Metformin is not a common cause of intrinsic acute renal failure. However, it is contraindicated in individuals with severe kidney impairment.

D. Incorrect. While ciprofloxacin and other antibiotics may have renal-related side effects, they are not a common cause of intrinsic acute renal failure.

A. Muscle weakness and fatigue. B. Tingling sensations in the extremities. C. Irregular heart rhythm (dysrhythmiA. . D. Excessive thirst and dry mucous membranes.

Correct Answer is C

Explanation

A. Incorrect. Muscle weakness and fatigue are manifestations of hyperkalemia, but they are not the most critical indicators of severe hyperkalemia.

B. Incorrect. Tingling sensations in the extremities are not the most critical indicator of severe hyperkalemia.

C. Correct. The most critical manifestation of severe hyperkalemia is an irregular heart rhythm (dysrhythmiA. , which can be life-threatening.

D. Incorrect. Excessive thirst and dry mucous membranes are not specific to hyperkalemia and are not the most critical indicators of severe hyperkalemia.

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A client with acute renal failure is experiencing fluid overload. What intervention should the nurse implement to manage the client's fluid balance effectively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the hospital with acute renal failure, and the nurse is reviewing the client's medication list. Which medication is a common cause of intrinsic acute renal failure?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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