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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Incorrect. Smoking and tobacco use are harmful to the kidneys and can increase the risk of chronic renal failure.

B. Incorrect. While genetic factors may play a role in some cases of chronic renal failure, lifestyle changes can significantly impact the risk and progression of kidney disease.

C. Incorrect. While a history of kidney stones may be associated with an increased risk of kidney damage, it is not a primary risk factor for chronic renal failure.

D. Correct. Conditions such as hypertension and diabetes are two of the leading causes of chronic renal failure. Uncontrolled high blood pressure and elevated blood sugar levels can damage the blood vessels and filtering units of the kidneys, leading to chronic kidney disease over time.

A. to manage anemia. What should the nurse include in the client's education about ESA therapy?A. "You should report any symptoms of dehydration or thirst to your healthcare provider." B. "Monitor your blood pressure regularly while taking ESA to ensure it remains stable." C. "You may experience increased appetite and weight gain with ESA therapy." D. "Be cautious about engaging in strenuous activities while on ESA to prevent bleeding."

Correct Answer is B

Explanation

A. Incorrect. ESA therapy is not directly related to dehydration or thirst. It is used to manage anemia by stimulating red blood cell production.

B. Correct. ESA therapy can increase red blood cell production, which may elevate blood pressure. Regular blood pressure monitoring is essential to ensure it remains within a safe range.

C. Incorrect. Increased appetite and weight gain are not typical side effects of ESA therapy.

D. Incorrect. ESA therapy is not associated with an increased risk of bleeding or restrictions on engaging in strenuous activities. It is used to manage anemia and improve overall blood cell counts.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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