A nurse is caring for a client with acute renal failure who is prescribed hemodialysis. The client asks, "What is the purpose of hemodialysis?" What is the nurse's best response?

"Hemodialysis is done to transplant a healthy kidney into your body."

"It helps remove waste products and excess fluids from your blood since your kidneys are not functioning properly."

"Hemodialysis will provide pain relief and improve your kidney function."

"It is a procedure to insert a tube into your bladder to drain urine and relieve pressure on your kidneys."

Answer and Explanation

The Correct Answer is B

A. Incorrect. Hemodialysis is not a procedure for kidney transplantation.

B. Correct. Hemodialysis is a treatment that helps remove waste products, toxins, and excess fluids from the blood when the kidneys are not functioning properly. It helps maintain the body's internal environment and prevent complications of acute renal failure.

C. Incorrect. While hemodialysis can improve kidney function temporarily, its primary purpose is to provide kidney support and replace some of the kidney's functions.

D. Incorrect. The description provided refers to the insertion of a urinary catheter for bladder drainage, not hemodialysis.

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Correct Answer is A

Explanation

A. Correct. Hypertension (high blood pressurE. is a significant risk factor for the development of acute renal failure. Elevated blood pressure can damage the blood vessels in the kidneys and impair kidney function.

B. Incorrect. Osteoporosis is not directly related to the development of acute renal failure. Osteoporosis is a condition characterized by weak and brittle bones.

C. Incorrect. While type 2 diabetes is a risk factor for chronic kidney disease, it is not a common risk factor for the development of acute renal failure.

D. Incorrect. Seasonal allergies are not associated with an increased risk of acute renal failure.

A. Erythropoietin-stimulating agents (ESAs). B. Anticoagulants such as heparin. C. Loop diuretics. D. Antihypertensive agents.

Correct Answer is A

Explanation

A. Correct. Erythropoietin-stimulating agents (ESAs) are commonly used to treat anemia in clients with renal failure. These medications stimulate the production of red blood cells and help manage anemia associated with kidney dysfunction.

B. Incorrect. Anticoagulants such as heparin are not used to treat anemia; they are prescribed to prevent blood clotting and thrombosis.

C. Incorrect. Loop diuretics are used to promote diuresis and manage fluid overload in clients with acute renal failure; they do not treat anemia.

D. Incorrect. Antihypertensive agents are prescribed to manage hypertension and do not treat anemia in clients with renal failure.

QUESTIONS

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A nurse is caring for a client with acute renal failure who is prescribed hemodialysis. The client asks, "What is the purpose of hemodialysis?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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

Correct Answer is A

Explanation

A client with acute renal failure develops uremia. What clinical manifestations are associated with uremia in this client?

A client with acute renal failure is receiving peritoneal dialysis. The nurse observes cloudy dialysis fluid during the procedure. What action should the nurse take?

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

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 at risk for impaired skin integrity. What intervention should the nurse implement to prevent skin breakdown?

A nurse is caring for a client with acute renal failure who is experiencing metabolic acidosis. What intervention should the nurse implement to help correct the acid-base imbalance?

A client with acute renal failure has a history of cardiovascular disease and is on multiple antihypertensive medications. Which antihypertensive medication class is most likely to contribute to prerenal acute renal failure?