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.
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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Related Questions
Correct Answer is B
Explanation
A. Incorrect. While protein intake may need to be adjusted in acute renal failure, increasing protein intake is not typically recommended during the acute phase, as it may place additional stress on the kidneys.
B. Correct. Limiting potassium-rich foods is essential for clients with acute renal failure, as impaired kidney function can lead to hyperkalemia (high potassium levels), which can be life-threatening.
C. Incorrect. A high-sodium diet is not recommended in acute renal failure, as it can exacerbate fluid retention and fluid overload.
D. Incorrect. Fluid restriction is not typically recommended in acute renal failure, especially if the client is experiencing fluid depletion and dehydration.
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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