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.
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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Related Questions
Correct Answer is B
Explanation
A. Incorrect. Hemodialysis is not a procedure for kidney transplantation.
B. Correct. Hemodialysis is a treatment that helps remove waste products, toxins, and excess fluids from the blood when the kidneys are not functioning properly. It helps maintain the body's internal environment and prevent complications of acute renal failure.
C. Incorrect. While hemodialysis can improve kidney function temporarily, its primary purpose is to provide kidney support and replace some of the kidney's functions.
D. Incorrect. The description provided refers to the insertion of a urinary catheter for bladder drainage, not hemodialysis.
Correct Answer is A
Explanation
A. Correct. A renal ultrasound is an imaging test that uses sound waves to create images of the kidneys. It can help identify kidney stones, obstructions, and other structural abnormalities in the urinary tract.
B. Incorrect. The renal ultrasound does not directly measure the glomerular filtration rate (GFR), which is typically assessed through blood tests.
C. Incorrect. A renal ultrasound does not provide information about the number and types of blood cells in the bloodstream.
D. Incorrect. While a renal ultrasound can visualize the blood vessels in the kidneys, its primary purpose is to assess kidney structure, not blood flow.
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