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.
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.
QUESTIONS
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Related Questions
Correct Answer is C
Explanation
A. Incorrect. Hypertension is a risk factor for prerenal acute renal failure, not postrenal.
B. Incorrect. While a UTI can cause kidney injury, it is not directly related to postrenal acute renal failure.
C. Correct. An enlarged prostate, also known as benign prostatic hyperplasia (BPH), can cause obstruction of the urinary tract and lead to postrenal acute renal failure. The obstruction prevents urine flow, causing pressure buildup in the kidneys and impairing kidney function.
D. Incorrect. Chronic kidney disease (CKD. is a risk factor for intrinsic acute renal failure, not postrenal.
Correct Answer is C
Explanation
A. Incorrect. Muscle cramps in acute renal failure are often related to electrolyte imbalances, including high potassium levels. Encouraging the consumption of potassium-rich foods would exacerbate the issue.
B. Incorrect. Muscle relaxants may not be appropriate for all clients, and the underlying cause of the muscle cramps should be addressed first.
C. Correct. Applying warm compresses to the affected muscles can help relax muscle tension and provide relief from muscle cramps.
D. Incorrect. Gentle stretching exercises may not be appropriate for a client experiencing muscle cramps, as stretching could exacerbate the discomfort.
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