A client with acute renal failure is receiving peritoneal dialysis. The nurse observes cloudy dialysis fluid during the procedure. What action should the nurse take?

Continue the peritoneal dialysis procedure as scheduled.

Stop the procedure immediately and notify the healthcare provider.

Administer antibiotics to prevent infection in the peritoneal cavity.

Increase the dwell time to allow for more effective waste removal.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Cloudy dialysis fluid may indicate infection or peritonitis, which requires immediate attention and intervention.

B. Correct. Cloudy dialysis fluid may indicate infection or peritonitis, which can be a severe complication of peritoneal dialysis. The nurse should stop the procedure immediately and notify the healthcare provider for further assessment and management.

C. Incorrect. Administering antibiotics without a proper diagnosis and healthcare provider's order is not appropriate.

D. Incorrect. Increasing the dwell time would not address the issue of cloudy dialysis fluid and potential infection.

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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.

A. Hypovolemia. B. Glomerulonephritis. C. Prostate enlargement. D. Urinary tract obstruction.

Correct Answer is B

Explanation

A. Incorrect. Hypovolemia is associated with prerenal acute renal failure, not intrinsic acute renal failure.

B. Correct. Glomerulonephritis is one of the common causes of intrinsic acute renal failure. It is characterized by inflammation of the glomeruli in the kidneys, which can lead to kidney damage and impaired function.

C. Incorrect. Prostate enlargement is associated with postrenal acute renal failure due to urinary tract obstruction, not intrinsic causes.

D. Incorrect. Urinary tract obstruction is also associated with postrenal acute renal failure, not intrinsic causes.

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A client with acute renal failure is receiving peritoneal dialysis. The nurse observes cloudy dialysis fluid during the procedure. What action should the nurse take?

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Naxlex Comprehensive Predictor Exams

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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Correct Answer is B

Explanation

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