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. While long-term use of NSAIDs can contribute to kidney damage and chronic kidney disease, it is not the primary cause of acute renal failure.

B. Incorrect. Acute renal failure is a sudden and abrupt loss of kidney function, and it is distinct from chronic kidney disease, which develops gradually over time.

C. Correct. Acute renal failure is characterized by a rapid and sudden decline in kidney function, often caused by a sudden decrease in blood flow to the kidneys (prerenal), kidney injury (intrinsiC. , or obstruction of the urinary tract (postrenal).

D. Incorrect. While UTIs and kidney stones can cause kidney injury, they are not the exclusive causes of acute renal failure, which can have various underlying etiologies.

A. Increased heart rate and blood pressure. B. Muscle twitching and irritability. C. Excessive thirst and frequent urination. D. Warm, flushed skin and headache.

Correct Answer is B

Explanation

A. Incorrect. Increased heart rate and blood pressure are more commonly associated with metabolic alkalosis, not metabolic acidosis.

B. Correct. Muscle twitching and irritability are common clinical manifestations of metabolic acidosis. Acidosis can lead to an increase in excitability of nerve cells, causing muscle twitching and irritability.

C. Incorrect. Excessive thirst and frequent urination are not typically associated with metabolic acidosis.

D. Incorrect. Warm, flushed skin and headache are not directly related to metabolic acidosis.

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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 providing education to a client about the etiology of acute renal failure. Which statement by the client indicates a correct understanding of the condition?

Correct Answer is C

Explanation

A client with acute renal failure is experiencing metabolic acidosis. Which clinical manifestation is commonly associated with this acid-base imbalance?

Correct Answer is B

Explanation

A nurse is caring for a client with acute renal failure who is undergoing a renal nuclear scan. What information should the nurse provide to the client about this diagnostic test?

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 nurse is caring for a client with acute renal failure. What is the primary pathophysiological process that leads to decreased urine output in this condition?

A nurse is preparing to perform a diagnostic test to assess kidney function in a client with suspected acute renal failure. Which test will provide information about the glomerular filtration rate (GFR)?

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

A nurse is reviewing the medical history of a client with acute renal failure. Which condition is a risk factor commonly associated with the development of acute renal failure?

A nurse is educating a client about the causes of intrinsic acute renal failure. What condition is commonly associated with the development of intrinsic acute renal failure?