A client with acute renal failure is prescribed loop diuretics to manage fluid overload. What is the nurse's responsibility when administering loop diuretics?

Monitor the client's serum potassium levels frequently.

Administer the diuretics intravenously to ensure rapid action.

Encourage the client to restrict fluid intake while on diuretic therapy.

Instruct the client to take the diuretics at bedtime for better effectiveness.

Answer and Explanation

The Correct Answer is A

A. Correct. Loop diuretics can cause potassium loss and potentially lead to hypokalemia. The nurse should monitor the client's serum potassium levels frequently to assess for any imbalances.

B. Incorrect. While loop diuretics can be given intravenously for rapid action, the administration route depends on the client's condition and the healthcare provider's order.

C. Incorrect. Loop diuretics are used to promote diuresis and fluid removal from the body. Encouraging fluid restriction while on diuretic therapy may exacerbate dehydration and electrolyte imbalances.

D. Incorrect. The timing of loop diuretic administration is determined by the healthcare provider's order and the client's specific needs. Taking diuretics at bedtime may result in increased nighttime urination and sleep disruption.

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Correct Answer is A

Explanation

A. Correct. Hypertension (high blood pressurE. is a significant risk factor for the development of acute renal failure. Elevated blood pressure can damage the blood vessels in the kidneys and impair kidney function.

B. Incorrect. Osteoporosis is not directly related to the development of acute renal failure. Osteoporosis is a condition characterized by weak and brittle bones.

C. Incorrect. While type 2 diabetes is a risk factor for chronic kidney disease, it is not a common risk factor for the development of acute renal failure.

D. Incorrect. Seasonal allergies are not associated with an increased risk of acute renal failure.

A. Bradypnea (slow respiratory ratE. . B. Kussmaul respirations (rapid, deep breathing). C. Dyspnea (shortness of breath) and crackles in the lungs. D. Increased respiratory rate and shallow breathing.

Correct Answer is B

Explanation

A. Incorrect. Bradypnea (slow respiratory ratE. is not typically associated with acute renal failure.

B. Correct. Kussmaul respirations are rapid and deep respirations seen in metabolic acidosis, a common complication of acute renal failure. The body tries to compensate for the acidosis by increasing the elimination of carbon dioxide through rapid and deep breathing.

C. Incorrect. Dyspnea and crackles in the lungs are not directly related to acute renal failure.

D. Incorrect. Increased respiratory rate and shallow breathing are not typical respiratory manifestations of acute renal failure.

QUESTIONS

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A client with acute renal failure is prescribed loop diuretics to manage fluid overload. What is the nurse's responsibility when administering loop diuretics?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is B

Explanation

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