A nurse is assessing a client with acute renal failure for respiratory complications. What respiratory manifestation is commonly associated with acute renal failure?

Bradypnea (slow respiratory ratE. .

Kussmaul respirations (rapid, deep breathing).

Dyspnea (shortness of breath) and crackles in the lungs.

Increased respiratory rate and shallow breathing.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Bradypnea (slow respiratory ratE. is not typically associated with acute renal failure.

B. Correct. Kussmaul respirations are rapid and deep respirations seen in metabolic acidosis, a common complication of acute renal failure. The body tries to compensate for the acidosis by increasing the elimination of carbon dioxide through rapid and deep breathing.

C. Incorrect. Dyspnea and crackles in the lungs are not directly related to acute renal failure.

D. Incorrect. Increased respiratory rate and shallow breathing are not typical respiratory manifestations of acute renal failure.

QUESTIONS

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Correct Answer is D

Explanation

A. Incorrect. Unlike computed tomography (CT) scans, MRI scans do not typically require the ingestion of a contrast solution.

B. Incorrect. The MRI scan does not directly measure the glomerular filtration rate (GFR), which is typically assessed through blood tests.

C. Incorrect. A renal biopsy involves inserting a needle through the back to obtain a tissue sample from the kidneys, not an MRI scan.

D. Correct. Before an MRI scan, clients need to remove all metal objects and devices, including jewelry, piercings, hearing aids, and certain medical implants. Metal can interfere with the MRI's magnetic field and cause safety concerns during the procedure.

A. CRRT allows for more rapid removal of waste products and excess fluids. B. CRRT requires less frequent sessions, providing greater convenience for the client. C. CRRT does not require the use of anticoagulants to prevent blood clotting in the machine. D. CRRT is less expensive and more cost-effective than intermittent hemodialysis.

Correct Answer is C

Explanation

A. Incorrect. Continuous renal replacement therapy (CRRT) provides gradual and continuous removal of waste products and excess fluids from the blood, but it may not be as rapid as intermittent hemodialysis.

B. Incorrect. CRRT typically requires continuous sessions, which may last 24 hours or more. Intermittent hemodialysis involves shorter but more frequent sessions.

C. Correct. One of the primary advantages of CRRT is that it does not require the use of anticoagulants to prevent blood clotting in the machine. This reduces the risk of bleeding and other complications associated with anticoagulant use during hemodialysis.

D. Incorrect. The cost of CRRT and intermittent hemodialysis can vary based on the healthcare setting and the client's needs. The cost-effectiveness depends on individual factors and resource availability.

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A nurse is assessing a client with acute renal failure for respiratory complications. What respiratory manifestation is commonly associated with acute renal failure?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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