A nurse is caring for a client with acute renal failure who is on bed rest. What intervention should the nurse implement to prevent complications of immobility?
Encourage the client to perform active range-of-motion exercises.
Elevate the head of the bed to promote respiratory function.
Limit the client's fluid intake to reduce the need for frequent bathroom visits.
Administer pain medication before performing passive range-of-motion exercises.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Angiotensin-converting enzyme (ACE. inhibitors can contribute to prerenal acute renal failure, especially in clients with preexisting cardiovascular disease. These medications may cause vasodilation and decrease blood flow to the kidneys, leading to impaired kidney function.
B. Incorrect. Beta-blockers are not directly associated with prerenal acute renal failure.
C. Incorrect. Calcium channel blockers are not typically associated with prerenal acute renal failure.
D. Incorrect. Thiazide diuretics may cause electrolyte imbalances and metabolic disturbances, but they are not a common cause of prerenal acute renal failure.
QUESTIONS
Correct Answer is C
Explanation
A. Incorrect. Decreased blood volume and hypovolemia may contribute to prerenal acute renal failure, but they are not the primary pathophysiological processes that lead to edema in acute renal failure.
B. Incorrect. Increased vascular permeability and leakage of fluid into tissues are not the primary mechanisms of edema in acute renal failure.
C. Correct. In acute renal failure, the impaired filtration and reduced excretion of fluid by the kidneys lead to fluid retention and edema in various parts of the body.
D. Incorrect. Excessive fluid intake and fluid overload may contribute to fluid retention and edema in prerenal acute renal failure, but they are not the primary pathophysiological process in acute renal failure.
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