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.
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Related Questions
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.
Correct Answer is A
Explanation
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.
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