A nurse is caring for a client with acute renal failure. The client asks, "What can I do to help improve my kidney function?" What is the nurse's best response?
"You should limit your fluid intake to decrease the workload on your kidneys."
"It's essential to maintain a high-protein diet to support kidney repair."
"You can try over-the-counter diuretics to promote increased urine output."
"Follow your healthcare provider's instructions, and avoid medications that may harm your kidneys."
The Correct Answer is D
A. Incorrect. While fluid restriction may be necessary in certain cases of acute renal failure, it should be prescribed and monitored by the healthcare provider based on the client's specific needs.
B. Incorrect. A high-protein diet can put additional strain on the kidneys, and it is not recommended for clients with acute renal failure.
C. Incorrect. Over-the-counter diuretics may not be safe for clients with acute renal failure and can lead to further electrolyte imbalances.
D. Correct. The nurse's best response is to encourage the client to follow their healthcare provider's instructions and avoid medications that may harm the kidneys. Compliance with prescribed treatment plans and avoiding nephrotoxic medications are essential to support kidney function and prevent further damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Encouraging the client to perform active range-of-motion exercises can help prevent complications of immobility, such as muscle wasting and joint contractures.
B. Incorrect. Elevating the head of the bed primarily benefits respiratory function and does not directly address the complications of immobility.
C. Incorrect. Limiting fluid intake would not prevent complications of immobility and may lead to dehydration.
D. Incorrect. Administering pain medication before passive range-of-motion exercises is not a standard practice and does not directly prevent complications of immobility.
Correct Answer is B
Explanation
A. Incorrect. Encouraging a low-carbohydrate diet is not the appropriate intervention for correcting metabolic acidosis.
B. Correct. Sodium bicarbonate is an alkalizing agent that can help correct metabolic acidosis by increasing the body's bicarbonate levels, which buffers excess acids.
C. Incorrect. Fluid restriction would not directly correct metabolic acidosis and may be detrimental to the client's overall fluid balance.
D. Incorrect. Deep breathing exercises are not specific interventions for correcting metabolic acidosis.
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