A client with chronic renal failure is experiencing periorbital edema and swelling of the ankles and feet. Which complication should the nurse suspect based on these clinical manifestations?

Proteinuria

Hypokalemia

Hypernatremia

Fluid overload

Answer and Explanation

The Correct Answer is D

A. Incorrect. Proteinuria, or the presence of excessive protein in the urine, may be a symptom of kidney dysfunction, but it is not directly related to periorbital edema and swelling of the ankles and feet.

B. Incorrect. Hypokalemia, or low potassium levels, may cause muscle weakness and other symptoms but is not associated with the specific edema described.

C. Incorrect. Hypernatremia, or high sodium levels, may lead to symptoms such as thirst and confusion but does not typically cause peripheral edema.

D. Correct. Periorbital edema (swelling around the eyes) and edema in the ankles and feet are classic signs of fluid overload in chronic renal failure. The impaired kidney function in chronic renal failure leads to the retention of fluid and sodium in the body, resulting in edema.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Incorrect. Cardiovascular disease can impact kidney health. The heart and kidneys are closely connected, and conditions that affect the heart can also have implications for kidney function.

B. Incorrect. High cholesterol levels can contribute to cardiovascular disease, and cardiovascular disease is a significant risk factor for chronic renal failure. Therefore, high cholesterol indirectly impacts kidney health.

C. Correct. Cardiovascular disease, including conditions like heart failure or atherosclerosis, can lead to decreased blood flow to the kidneys, impairing kidney function and contributing to chronic renal failure.

D. Incorrect. High blood pressure is a well-established risk factor for chronic renal failure. Uncontrolled hypertension can damage the blood vessels in the kidneys, leading to kidney dysfunction over time.

QUESTIONS

A. The client's kidneys are functioning normally. B. The client has mild kidney impairment. C. The client has moderate kidney dysfunction. D. The client's kidneys are severely damaged.

Correct Answer is B

Explanation

A. Incorrect. While a GFR value of 60 mL/min/1.73m² is within the normal range for some populations, it is considered below the normal range for adults and indicates some level of kidney dysfunction.

B. Correct. A GFR value of 60 mL/min/1.73m² indicates mild kidney impairment. While it may not be severely compromised, it still represents some level of kidney dysfunction.

C. Incorrect. A GFR value of 60 mL/min/1.73m² is not considered moderate kidney dysfunction. It is within the mild impairment range.

D. Incorrect. A GFR value of 60 mL/min/1.73m² is not indicative of severely damaged kidneys. Severe kidney dysfunction would have a much lower GFR value.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with chronic renal failure is experiencing periorbital edema and swelling of the ankles and feet. Which complication should the nurse suspect based on these clinical manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the impact of cardiovascular disease on kidney health. Which statement made by the client demonstrates understanding?

Correct Answer is C

Explanation

A nurse is caring for a client with chronic renal failure. The client's GFR test result is 60 mL/min/1.73m². How should the nurse interpret this result?

Correct Answer is B

Explanation

A nurse is caring for a client with chronic renal failure who is prescribed phosphate binders. What is the rationale for administering phosphate binders to this client?

A client with chronic renal failure is experiencing severe anemia. Which laboratory finding should the nurse expect in this client?

A nurse is reviewing the GFR calculation for a client with chronic renal failure. The client's serum creatinine level is 2.5 mg/dL. What should the nurse do next?

A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports cloudy dialysate effluent during an exchange. What should the nurse do first?

A nurse is caring for a client with chronic renal failure who is receiving peritoneal dialysis. The client reports experiencing cloudy dialysate drainage. What should the nurse do first?

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

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

A client with chronic renal failure asks the nurse about dietary restrictions. What should the nurse emphasize as a key dietary modification for managing the condition?