A client with acute renal failure is prescribed loop diuretics. What is the primary purpose of using loop diuretics in this client's care?

To decrease urine output and prevent dehydration.

To increase blood pressure and improve kidney perfusion.

To promote sodium and water reabsorption in the kidneys.

To enhance urine output and reduce fluid overload.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is C

Explanation

A. Incorrect. Encouraging the client to sit up in a chair for extended periods can increase pressure on certain areas and contribute to skin breakdown.

B. Incorrect. Applying a heating pad to areas at risk for skin breakdown can lead to thermal injury and exacerbate skin issues.

C. Correct. Regular repositioning and skin assessments are essential in preventing pressure ulcers and maintaining skin integrity in clients with acute renal failure who may be bedridden or have limited mobility.

D. Incorrect. Adhesive tape can cause skin irritation and damage when removed, especially in clients at risk for impaired skin integrity.

A. Ibuprofen (NSAID. . B. Furosemide (loop diuretiC. . C. Metformin (antidiabetic drug). D. Ciprofloxacin (antibiotiC. .

Correct Answer is A

Explanation

A. Correct. Nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, are known to cause kidney damage and are a common cause of intrinsic acute renal failure, especially when used in high doses or for extended periods.

B. Incorrect. Loop diuretics, such as furosemide, are not typically associated with intrinsic acute renal failure.

C. Incorrect. Metformin is not a common cause of intrinsic acute renal failure. However, it is contraindicated in individuals with severe kidney impairment.

D. Incorrect. While ciprofloxacin and other antibiotics may have renal-related side effects, they are not a common cause of intrinsic acute renal failure.

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A client with acute renal failure is prescribed loop diuretics. What is the primary purpose of using loop diuretics in this client's care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with acute renal failure who is at risk for impaired skin integrity. What intervention should the nurse implement to prevent skin breakdown?

Correct Answer is C

Explanation

A client is admitted to the hospital with acute renal failure, and the nurse is reviewing the client's medication list. Which medication is a common cause of intrinsic acute renal failure?

Correct Answer is A

Explanation

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