A nurse is assessing a client with acute renal failure for clinical manifestations of the condition. What symptom is commonly associated with the fluid and electrolyte imbalance seen in acute renal failure?

Constipation and abdominal pain.

Muscle weakness and fatigue.

Decreased heart rate and blood pressure.

Increased respiratory rate and depth.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Constipation and abdominal pain are not typical manifestations of the fluid and electrolyte imbalance seen in acute renal failure.

B. Correct. Acute renal failure can lead to imbalances in electrolytes, particularly potassium and sodium. Muscle weakness and fatigue are common manifestations of these electrolyte imbalances.

C. Incorrect. Decreased heart rate and blood pressure are more commonly associated with fluid volume depletion in prerenal acute renal failure, rather than electrolyte imbalances.

D. Incorrect. Increased respiratory rate and depth are not typically associated with acute renal failure or its fluid and electrolyte imbalances.

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Correct Answer is B

Explanation

A. Incorrect. While administering prescribed medications is important, the priority in acute renal failure is to closely monitor the client's intake and output to assess kidney function and fluid balance.

B. Correct. Monitoring intake and output is a priority nursing intervention in acute renal failure. Accurate assessment of urine output helps determine the client's kidney function and the effectiveness of treatment.

C. Incorrect. Providing emotional support is essential, but it is not the priority over monitoring kidney function and fluid balance.

D. Incorrect. Preventing infection and complications is important, but it is not the priority over assessing kidney function in acute renal failure.

QUESTIONS

A. Withhold all food and drink for 24 hours. B. Assess the client's allergies, especially to iodine and shellfish. C. Administer intravenous fluids to prevent dehydration. D. Have the client remove all jewelry and metallic objects.

Correct Answer is B

Explanation

A. Incorrect. Withholding food and drink for 24 hours is not necessary for a CT scan with contrast dye.

B. Correct. Before a CT scan with contrast dye, it is essential to assess the client for allergies, especially to iodine and shellfish. Contrast dyes used in CT scans contain iodine, and clients with allergies to iodine or shellfish may have an allergic reaction to the contrast dye.

C. Incorrect. While administering intravenous fluids may be beneficial in certain situations, it is not a specific precaution for a CT scan with contrast dye.

D. Incorrect. Removing jewelry and metallic objects is a standard precaution for all imaging procedures, but it is not specific to a CT scan with contrast dye.

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A nurse is assessing a client with acute renal failure for clinical manifestations of the condition. What symptom is commonly associated with the fluid and electrolyte imbalance seen in acute renal failure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client with acute renal failure. What is the priority nursing intervention for this client?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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