A nurse is caring for a client with acute renal failure who is at risk for impaired skin integrity. What intervention should the nurse implement to prevent skin breakdown?

Encourage the client to sit up in a chair for extended periods.

Apply a heating pad to areas at risk for skin breakdown.

Perform regular repositioning and skin assessments.

Use adhesive tape for securing dressings to the skin.

Answer and Explanation

The Correct Answer is C

A. Incorrect. Encouraging the client to sit up in a chair for extended periods can increase pressure on certain areas and contribute to skin breakdown.

B. Incorrect. Applying a heating pad to areas at risk for skin breakdown can lead to thermal injury and exacerbate skin issues.

C. Correct. Regular repositioning and skin assessments are essential in preventing pressure ulcers and maintaining skin integrity in clients with acute renal failure who may be bedridden or have limited mobility.

D. Incorrect. Adhesive tape can cause skin irritation and damage when removed, especially in clients at risk for impaired skin integrity.

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Correct Answer is C

Explanation

A. Incorrect. Hypertension is a risk factor for prerenal acute renal failure, not postrenal.

B. Incorrect. While a UTI can cause kidney injury, it is not directly related to postrenal acute renal failure.

C. Correct. An enlarged prostate, also known as benign prostatic hyperplasia (BPH), can cause obstruction of the urinary tract and lead to postrenal acute renal failure. The obstruction prevents urine flow, causing pressure buildup in the kidneys and impairing kidney function.

D. Incorrect. Chronic kidney disease (CKD. is a risk factor for intrinsic acute renal failure, not postrenal.

A. Cheese and yogurt. B. Beans and lentils. C. Eggs and poultry. D. Fresh fruits and vegetables.

Correct Answer is D

Explanation

A. Incorrect. Cheese and yogurt are high in phosphate and should be avoided in a low-phosphate diet.

B. Incorrect. Beans and lentils are also high in phosphate and are not suitable for a low-phosphate diet.

C. Incorrect. Eggs and poultry are significant sources of phosphate and are not recommended in a low-phosphate diet.

D. Correct. Fresh fruits and vegetables are generally low in phosphate and are suitable for a low-phosphate diet. These foods can help meet the client's nutritional needs while adhering to the dietary restriction.

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A nurse is caring for a client with acute renal failure who is at risk for impaired skin integrity. What intervention should the nurse implement to prevent skin breakdown?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client at risk for postrenal acute renal failure. What condition should the nurse prioritize in the client's assessment?

Correct Answer is C

Explanation

A client with acute renal failure is prescribed a low-phosphate diet. What foods should the nurse include in the client's diet plan?

Correct Answer is D

Explanation

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 client is admitted to the hospital with acute renal failure, and the nurse is reviewing the client's medication list. Which medication is a common cause of intrinsic acute renal failure?

A client with acute renal failure is undergoing a computed tomography (CT) scan with contrast dye. What precaution should the nurse take before the procedure?

A client with acute renal failure is experiencing metabolic acidosis. Which intervention should the nurse anticipate to help correct the acid-base imbalance?

A nurse is caring for a client with acute renal failure who has elevated serum creatinine levels. What is the significance of elevated creatinine levels in this client?

A client with acute renal failure is prescribed loop diuretics. What is the primary purpose of using loop diuretics in this client's care?

A client is admitted to the hospital with suspected acute renal failure. What initial assessment finding should the nurse anticipate in this client?

A client with acute renal failure has a history of cardiovascular disease and is on multiple antihypertensive medications. Which antihypertensive medication class is most likely to contribute to prerenal acute renal failure?