A client with chronic renal failure asks the nurse about the purpose of the glomerular filtration rate (GFR) test. What is the nurse's best response?
"The GFR test measures the volume of urine produced in 24 hours."
"This test helps assess the client's blood glucose levels."
"The GFR test evaluates how well your kidneys are filtering waste and fluids from the blood."
"It measures the client's ability to excrete potassium and sodium in the urine."
The Correct Answer is C
A. Incorrect. The volume of urine produced in 24 hours is measured through a different test called the 24-hour urine collection, not the GFR test.
B. Incorrect. The GFR test does not assess blood glucose levels; it is primarily used to evaluate kidney function.
C. Correct. The GFR test measures how well the kidneys are filtering waste and fluids from the blood. It is an important indicator of kidney function and is commonly used to stage chronic renal failure.
D. Incorrect. The GFR test does not specifically measure the excretion of potassium and sodium in the urine; instead, it focuses on overall kidney function and filtration rate.
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Related Questions
Correct Answer is B
Explanation
A. Incorrect. While dietary modifications are often necessary in chronic renal failure, this response does not address the client's concerns about lifestyle impact.
B. Correct. Hemodialysis requires a significant time commitment, and clients must plan their activities around the dialysis schedule. It is important for the client to understand the need for regular dialysis sessions to manage their condition effectively.
C. Incorrect. While hemodialysis does require regular sessions, it should not necessarily limit a client's ability to travel or participate in social events. Many individuals on hemodialysis can adjust their activities and still engage in meaningful experiences.
D. Incorrect.
Physical activity is generally encouraged in clients with chronic renal failure, as it contributes to overall well-being. Hemodialysis may increase energy levels and improve the client's ability to engage in physical activity.
Correct Answer is C
Explanation
A. Incorrect. Encouraging the client to drink more fluids may not immediately resolve the cloudy dialysate drainage. The nurse needs to assess the client's dialysis technique and the potential cause of the cloudiness.
B. Incorrect. Administering intravenous antibiotics is not the initial intervention for cloudy dialysate drainage. First, the nurse should assess the client's technique and position during dialysis.
C. Correct. Cloudy dialysate drainage may indicate improper dialysate exchange, infection, or other complications. The
nurse should first assess the client's dialysis technique and ensure proper positioning to identify the cause.
D. Incorrect. Discontinuing peritoneal dialysis should be considered if there is clear evidence of infection or other serious complications, but it is not the initial intervention for cloudy drainage without further assessment.
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