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 C

Explanation

A. Incorrect. Hypotension and tachycardia are more commonly associated with fluid depletion, not fluid overload.

B. Incorrect. Dry mucous membranes and decreased skin turgor are signs of dehydration, which is not indicative of fluid overload.

C. Correct. Fluid overload in acute renal failure can lead to pulmonary congestion and edema in the extremities. Crackles in the lungs (rales) are auscultated when there is fluid accumulation in the lung tissue, and edema in the extremities is visible swelling caused by excessive fluid retention.

D. Incorrect. Hypoactive bowel sounds and constipation are not directly related to fluid overload in acute renal failure.

A. CRRT allows for more rapid removal of waste products and excess fluids. B. CRRT requires less frequent sessions, providing greater convenience for the client. C. CRRT does not require the use of anticoagulants to prevent blood clotting in the machine. D. CRRT is less expensive and more cost-effective than intermittent hemodialysis.

Correct Answer is C

Explanation

A. Incorrect. Continuous renal replacement therapy (CRRT) provides gradual and continuous removal of waste products and excess fluids from the blood, but it may not be as rapid as intermittent hemodialysis.

B. Incorrect. CRRT typically requires continuous sessions, which may last 24 hours or more. Intermittent hemodialysis involves shorter but more frequent sessions.

C. Correct. One of the primary advantages of CRRT is that it does not require the use of anticoagulants to prevent blood clotting in the machine. This reduces the risk of bleeding and other complications associated with anticoagulant use during hemodialysis.

D. Incorrect. The cost of CRRT and intermittent hemodialysis can vary based on the healthcare setting and the client's needs. The cost-effectiveness depends on individual factors and resource availability.

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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 nurse is assessing a client with acute renal failure for signs of fluid overload. Which clinical manifestation is associated with fluid overload in this client?

Correct Answer is C

Explanation

A client with acute renal failure is receiving continuous renal replacement therapy (CRRT). What is the primary advantage of CRRT compared to intermittent hemodialysis?

Correct Answer is C

Explanation

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