A nurse is assessing a client with chronic renal failure for fluid overload. Which finding should the nurse prioritize as an early indication of fluid retention?
Increased blood pressure readings.
Shortness of breath and crackles in the lungs.
Decreased serum potassium levels.
Rapid weight loss over a few days.
The Correct Answer is A
A. Correct. An increase in blood pressure readings can be an early indication of fluid retention in a client with chronic renal failure. Fluid overload can lead to hypertension as the kidneys struggle to excrete excess fluids.
B. Incorrect. Shortness of breath and crackles in the lungs are signs of fluid overload but are considered more advanced symptoms. These indicate that fluid has accumulated in the lungs, leading to pulmonary edema.
C. Incorrect. Decreased serum potassium levels (hypokalemiA. are not typically associated with fluid overload. Instead, chronic renal failure often leads to hyperkalemia due to impaired potassium excretion.
D. Incorrect. Rapid weight loss over a few days is not indicative of fluid retention; rather, it may suggest dehydration or inadequate caloric intake.
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Related Questions
Correct Answer is D
Explanation
A. Incorrect. Calcitriol is not given to enhance appetite or improve nutrition. Its primary role is in regulating calcium and phosphate levels.
B. Incorrect. Calcitriol does not directly impact urine output or prevent kidney stones.
C. Incorrect. While some medications may be prescribed to manage blood pressure in chronic renal failure, calcitriol is not one of them.
D. Correct. Calcitriol is the active form of vitamin D and plays a crucial role in regulating calcium and phosphate levels in the body. It helps maintain bone health by promoting the absorption of calcium from the digestive tract and preventing bone demineralization.
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.
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