A client with chronic renal failure is concerned about the discomfort associated with the GFR test. What should the nurse do to address the client's concern?

Administer pain medication before the test.

Explain that the GFR test is painless and non-invasive.

Offer the client relaxation techniques to use during the test.

Reassure the client that any discomfort will be brief and tolerable.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Pain medication is not typically administered for a GFR test as the test itself is not painful.

B. Correct. The GFR test is painless and non-invasive. It involves a blood test to measure creatinine levels and does not cause discomfort.

C. Incorrect. While relaxation techniques can be helpful for other procedures, they are not necessary for the GFR test as it does not cause discomfort.

D. Incorrect. Reassuring the client about the brief and tolerable nature of discomfort would be misleading, as the GFR test does not cause discomfort.

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Correct Answer is A

Explanation

A. Correct. Increased blood pressure readings can be an early clinical manifestation of fluid overload in clients with chronic renal failure. Fluid retention can lead to hypertension as the kidneys struggle to excrete excess fluids.

B. Incorrect. Hyperkalemia may occur in chronic renal failure, but it is not an early clinical manifestation of fluid overload.

C. Incorrect. Dry and cracked skin is more commonly associated with dehydration rather than fluid overload.

D. Incorrect. Polyuria is not typically associated with fluid overload. Instead, it may be present in early stages of chronic renal failure due to the inability of the kidneys to concentrate urine properly.

A. Antibiotics B. Antihypertensives C. Proton pump inhibitors (PPIs) D. Antipyretics (e.g., acetaminophen)

Correct Answer is C

Explanation

A. Incorrect. Antibiotics are generally safe and are not known to be a risk factor for chronic renal failure.

B. Incorrect. Antihypertensive medications are essential for managing high blood pressure and reducing the risk of kidney damage in individuals with hypertension. They are not considered a risk factor for chronic renal failure.

C. Correct. Proton pump inhibitors (PPIs) are commonly used to treat conditions such as acid reflux and peptic ulcers. Prolonged and high-dose use of PPIs has been associated with an increased risk of kidney disease, including acute interstitial nephritis and chronic kidney disease.

D. Incorrect. Antipyretics such as acetaminophen are generally safe when used appropriately and are not considered a risk factor for chronic renal failure.

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A client with chronic renal failure is concerned about the discomfort associated with the GFR test. What should the nurse do to address the client's concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with chronic renal failure for potential fluid overload. Which finding should the nurse prioritize as an early clinical manifestation of fluid retention?

Correct Answer is A

Explanation

A nurse is assessing a client's risk factors for chronic renal failure. Which medication should the nurse recognize as a potential risk factor for kidney disease?

Correct Answer is C

Explanation

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