A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?

Angiotensin-converting enzyme (ACE. inhibitor

Phosphate binder

Erythropoietin-stimulating agent (ESA.

Potassium-sparing diuretic

Answer and Explanation

The Correct Answer is A

A. Correct. ACE inhibitors are commonly prescribed to manage hypertension and fluid overload in clients with chronic renal failure. These medications help relax blood vessels, reduce fluid retention, and lower blood pressure.

B. Incorrect. Phosphate binders are prescribed to control phosphate levels, but they do not directly address fluid overload and hypertension.

C. Incorrect. Erythropoietin-stimulating agents (ESA. are used to manage anemia in chronic renal failure and do not specifically address hypertension or fluid overload.

D. Incorrect. Potassium-sparing diuretics may not be the first for managing fluid overload and hypertension in chronic renal failure, especially if the client has elevated potassium levels. ACE inhibitors are a more suitable option in this scenario.

QUESTIONS

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Correct Answer is D

Explanation

A. Incorrect. Calcium-based phosphate binders should not be taken with milk or calcium-rich foods, as this can lead to an excessive calcium load and increase the risk of hypercalcemia.

B. Incorrect. Calcium-based phosphate binders are most effective when taken with meals to bind to dietary phosphorus.

C. Incorrect. While vitamin D plays a role in calcium metabolism, its supplementation is not directly related to the use of calcium-based phosphate binders.

D. Correct. Constipation is a common side effect of calcium-based phosphate binders. Increasing fluid intake can help alleviate constipation and promote bowel regularity.

Questions

A. to manage anemia. What should the nurse include in the client's education about ESA therapy?A. "You should report any symptoms of dehydration or thirst to your healthcare provider." B. "Monitor your blood pressure regularly while taking ESA to ensure it remains stable." C. "You may experience increased appetite and weight gain with ESA therapy." D. "Be cautious about engaging in strenuous activities while on ESA to prevent bleeding."

Correct Answer is B

Explanation

A. Incorrect. ESA therapy is not directly related to dehydration or thirst. It is used to manage anemia by stimulating red blood cell production.

B. Correct. ESA therapy can increase red blood cell production, which may elevate blood pressure. Regular blood pressure monitoring is essential to ensure it remains within a safe range.

C. Incorrect. Increased appetite and weight gain are not typical side effects of ESA therapy.

D. Incorrect. ESA therapy is not associated with an increased risk of bleeding or restrictions on engaging in strenuous activities. It is used to manage anemia and improve overall blood cell counts.

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A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure is prescribed calcium-based phosphate binders. What should the nurse include in the client's education about taking calcium-based phosphate binders?

Correct Answer is D

Explanation

A client with chronic renal failure is prescribed erythropoietin-stimulating agents (ES

Correct Answer is B

Explanation

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