A client with chronic renal failure presents with swelling in the ankles and legs. What is the nurse's best action?

Apply compression stockings to the client's lower extremities.

Elevate the client's legs to reduce swelling.

Measure the client's blood pressure and pulse rate.

Assess the client's daily protein intake.

Answer and Explanation

The Correct Answer is C

A. Incorrect. Applying compression stockings may help reduce swelling but does not address the underlying cause. Additionally, compression stockings should not be used if the client has arterial insufficiency.

B. Incorrect. Elevation may provide temporary relief from swelling, but it does not address the underlying cause of fluid retention

in chronic renal failure.

C. Correct. The nurse should measure the client's blood pressure and pulse rate to assess for fluid overload and possible hypertension, which can be associated with chronic renal failure.

D. Incorrect. Assessing the client's daily protein intake is not the priority when the client presents with swelling in the ankles and legs. Fluid retention is a more immediate concern that requires assessment and intervention.

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Correct Answer is B

Explanation

A. Incorrect. In chronic renal failure, the kidneys may have difficulty processing excess protein, so protein intake should be limited to reduce the workload on the kidneys.

B. Correct. Limiting fluid intake is crucial in managing chronic renal failure. The kidneys' reduced ability to filter waste products can lead to fluid retention and electrolyte imbalances, so restricting fluid intake helps prevent overload and complications.

C. Incorrect. In chronic renal failure, high-potassium foods should be limited to prevent hyperkalemia, a condition in which potassium levels in the blood become too high.

D. Incorrect. Foods high in phosphorus should be restricted in chronic renal failure because the kidneys may have difficulty excreting excess phosphorus, leading to hyperphosphatemia, which can contribute to bone and mineral disorders.

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.

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A client with chronic renal failure presents with swelling in the ankles and legs. What is the nurse's best action?

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Naxlex Comprehensive Predictor Exams

A client with chronic renal failure asks the nurse about dietary recommendations to manage their condition. What should the nurse include in the response?

Correct Answer is B

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

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