A nurse is assessing a client with chronic renal failure for potential fluid overload. Which finding should the nurse prioritize as an early clinical manifestation of fluid retention?
Increased blood pressure readings
Hyperkalemia (elevated potassium levels)
Dry and cracked skin
Polyuria (increased urination)
The Correct Answer is A
A. Correct. Increased blood pressure readings can be an early clinical manifestation of fluid overload in clients with chronic renal failure. Fluid retention can lead to hypertension as the kidneys struggle to excrete excess fluids.
B. Incorrect. Hyperkalemia may occur in chronic renal failure, but it is not an early clinical manifestation of fluid overload.
C. Incorrect. Dry and cracked skin is more commonly associated with dehydration rather than fluid overload.
D. Incorrect. Polyuria is not typically associated with fluid overload. Instead, it may be present in early stages of chronic renal failure due to the inability of the kidneys to concentrate urine properly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. ACE inhibitors are commonly prescribed to manage hypertension and fluid overload in clients with chronic renal failure. These medications help relax blood vessels, reduce fluid retention, and lower blood pressure.
B. Incorrect. Phosphate binders are prescribed to control phosphate levels, but they do not directly address fluid overload and hypertension.
C. Incorrect. Erythropoietin-stimulating agents (ESA. are used to manage anemia in chronic renal failure and do not specifically address hypertension or fluid overload.
D. Incorrect. Potassium-sparing diuretics may not be the first for managing fluid overload and hypertension in chronic renal failure, especially if the client has elevated potassium levels. ACE inhibitors are a more suitable option in this scenario.
QUESTIONS
Correct Answer is B
Explanation
A. Incorrect. Pruritus (itching) is a common symptom of chronic renal failure and is related to the buildup of waste products and toxins in the blood, leading to skin irritation.
B. Correct. Pruritus is a common and distressing symptom of chronic renal failure, caused by the retention of uremic toxins in the blood. These toxins can irritate the skin and lead to itching.
C. Incorrect. While medications can sometimes cause pruritus as a side effect, it is not the primary cause of itching in clients with chronic renal failure.
D. Incorrect. Persistent pruritus in a client with chronic renal failure is not necessarily indicative of an allergic reaction to medications. It is more likely related to the buildup of waste products in the blood.
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