A nurse is caring for a client with acute renal failure. What medical condition in the client's history increases the risk of prerenal acute renal failure?
Dehydration.
Urinary tract infection (UTI).
Chronic kidney disease (CKD. .
Diabetes mellitus.
The Correct Answer is A
A. Correct. Dehydration is a significant risk factor for prerenal acute renal failure. Insufficient fluid intake or excessive fluid loss (e.g., vomiting, diarrheA. can lead to decreased blood volume and decreased blood flow to the kidneys, impairing kidney function.
B. Incorrect. A UTI can cause kidney injury but is not specifically associated with prerenal acute renal failure.
C. Incorrect. Chronic kidney disease (CKD. is a risk factor for the development of intrinsic acute renal failure, but it is not directly related to prerenal causes.
D. Incorrect. Diabetes mellitus is a risk factor for chronic kidney disease, but it is not a specific risk factor for prerenal acute renal failure.
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Related Questions
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.
Correct Answer is A
Explanation
A. Correct. Hypertension (high blood pressurE. is a significant risk factor for the development of acute renal failure. Elevated blood pressure can damage the blood vessels in the kidneys and impair kidney function.
B. Incorrect. Osteoporosis is not directly related to the development of acute renal failure. Osteoporosis is a condition characterized by weak and brittle bones.
C. Incorrect. While type 2 diabetes is a risk factor for chronic kidney disease, it is not a common risk factor for the development of acute renal failure.
D. Incorrect. Seasonal allergies are not associated with an increased risk of acute renal failure.
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