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. Muscle cramps in acute renal failure are often related to electrolyte imbalances, including high potassium levels. Encouraging the consumption of potassium-rich foods would exacerbate the issue.
B. Incorrect. Muscle relaxants may not be appropriate for all clients, and the underlying cause of the muscle cramps should be addressed first.
C. Correct. Applying warm compresses to the affected muscles can help relax muscle tension and provide relief from muscle cramps.
D. Incorrect. Gentle stretching exercises may not be appropriate for a client experiencing muscle cramps, as stretching could exacerbate the discomfort.
Correct Answer is C
Explanation
A. Incorrect. Acute renal failure is not a chronic condition; it is an acute condition that develops rapidly and is typically reversible with prompt treatment.
B. Incorrect. While long-term uncontrolled diabetes can lead to chronic kidney disease, acute renal failure is not caused by chronic kidney damage related to diabetes.
C. Correct. Acute renal failure, also known as acute kidney injury (AKI), is characterized by a sudden and temporary loss of kidney function. It is often caused by factors such as decreased blood flow to the kidneys, kidney damage, or obstruction of the urinary tract.
D. Incorrect. While the statement is partially true, it does not capture the acute and sudden nature of acute renal failure. The inability of the kidneys to filter waste products from the blood is one of the manifestations of AKI.
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