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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Incorrect. While protein intake may need to be adjusted in acute renal failure, increasing protein intake is not typically recommended during the acute phase, as it may place additional stress on the kidneys.

B. Correct. Limiting potassium-rich foods is essential for clients with acute renal failure, as impaired kidney function can lead to hyperkalemia (high potassium levels), which can be life-threatening.

C. Incorrect. A high-sodium diet is not recommended in acute renal failure, as it can exacerbate fluid retention and fluid overload.

D. Incorrect. Fluid restriction is not typically recommended in acute renal failure, especially if the client is experiencing fluid depletion and dehydration.

A. "You will need to drink a contrast solution before the MRI scan." B. "The MRI scan will assess your kidney function by measuring the glomerular filtration rate (GFR)." C. "The procedure involves inserting a needle through the back to obtain a tissue sample from the kidneys." D. "You will need to remove all metal objects and devices before the MRI scan."

Correct Answer is D

Explanation

A. Incorrect. Unlike computed tomography (CT) scans, MRI scans do not typically require the ingestion of a contrast solution.

B. Incorrect. The MRI scan does not directly measure the glomerular filtration rate (GFR), which is typically assessed through blood tests.

C. Incorrect. A renal biopsy involves inserting a needle through the back to obtain a tissue sample from the kidneys, not an MRI scan.

D. Correct. Before an MRI scan, clients need to remove all metal objects and devices, including jewelry, piercings, hearing aids, and certain medical implants. Metal can interfere with the MRI's magnetic field and cause safety concerns during the procedure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client with acute renal failure about dietary modifications. What dietary recommendation is essential for this client?

Correct Answer is B

Explanation

A client with acute renal failure is scheduled for a magnetic resonance imaging (MRI) scan. What information should the nurse provide to the client about this imaging test?

Correct Answer is D

Explanation

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?

A nurse is caring for a client with acute renal failure who is experiencing muscle cramps. What intervention should the nurse implement to relieve the client's discomfort?

A client with acute renal failure is prescribed medication for anemia. What medication is commonly used to treat anemia in clients with renal failure?

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?

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

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 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)?