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 D
Explanation
A. Incorrect. Loop diuretics are used to increase urine output, not decrease it. They help reduce fluid overload and prevent dehydration.
B. Incorrect. Loop diuretics typically lead to a decrease in blood pressure, not an increase. They are often prescribed to address hypertension in acute renal failure.
C. Incorrect. Loop diuretics promote the excretion of sodium and water from the kidneys, not their reabsorption.
D. Correct. Loop diuretics are prescribed in acute renal failure to increase urine output and promote fluid excretion. This helps reduce fluid overload and decrease edema.
Correct Answer is C
Explanation
A. Incorrect. While long-term use of NSAIDs can contribute to kidney damage and chronic kidney disease, it is not the primary cause of acute renal failure.
B. Incorrect. Acute renal failure is a sudden and abrupt loss of kidney function, and it is distinct from chronic kidney disease, which develops gradually over time.
C. Correct. Acute renal failure is characterized by a rapid and sudden decline in kidney function, often caused by a sudden decrease in blood flow to the kidneys (prerenal), kidney injury (intrinsiC. , or obstruction of the urinary tract (postrenal).
D. Incorrect. While UTIs and kidney stones can cause kidney injury, they are not the exclusive causes of acute renal failure, which can have various underlying etiologies.
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