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?

A. Incorrect. Hypovolemia is associated with prerenal acute renal failure, not intrinsic acute renal failure.

B. Correct. Glomerulonephritis is one of the common causes of intrinsic acute renal failure. It is characterized by inflammation of the glomeruli in the kidneys, which can lead to kidney damage and impaired function.

C. Incorrect. Prostate enlargement is associated with postrenal acute renal failure due to urinary tract obstruction, not intrinsic causes.

D. Incorrect. Urinary tract obstruction is also associated with postrenal acute renal failure, not intrinsic causes.

A. Incorrect. Increasing the rate of dialysis may further lower the client's blood pressure and worsen the situation.

B. Incorrect. Administering an antihypertensive medication during a hypotensive episode could exacerbate the client's low blood pressure.

C. Correct. The nurse's priority action is to stop the dialysis procedure immediately and notify the healthcare provider of the significant drop in blood pressure. The client may be experiencing a hypotensive episode, which requires prompt evaluation and intervention.

D. Incorrect. Increasing the client's

fluid intake is not appropriate during a hypotensive episode, as it may not rapidly improve blood pressure and could lead to fluid overload.