A nurse is caring for a client with acute renal failure who is receiving hemodialysis. The client's blood pressure drops significantly during the procedure. What is the nurse's priority action?

Increase the rate of dialysis to complete the procedure quickly.

Administer an antihypertensive medication to lower the blood pressure.

Stop the dialysis procedure and notify the healthcare provider.

Increase the client's fluid intake to raise blood pressure.

Answer and Explanation

The Correct Answer is C

A. Incorrect. Increasing the rate of dialysis may further lower the client's blood pressure and worsen the situation.

B. Incorrect. Administering an antihypertensive medication during a hypotensive episode could exacerbate the client's low blood pressure.

C. Correct. The nurse's priority action is to stop the dialysis procedure immediately and notify the healthcare provider of the significant drop in blood pressure. The client may be experiencing a hypotensive episode, which requires prompt evaluation and intervention.

D. Incorrect. Increasing the client's

fluid intake is not appropriate during a hypotensive episode, as it may not rapidly improve blood pressure and could lead to fluid overload.

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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.

A. "The renal ultrasound will help identify kidney stones or obstructions in the urinary tract." B. "This test will assess your kidney function by measuring the glomerular filtration rate (GFR)." C. "A renal ultrasound will provide information about the number and types of blood cells in your bloodstream." D. "This test will examine the blood vessels in your kidneys and assess blood flow to the kidneys."

Correct Answer is A

Explanation

A. Correct. A renal ultrasound is an imaging test that uses sound waves to create images of the kidneys. It can help identify kidney stones, obstructions, and other structural abnormalities in the urinary tract.

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

C. Incorrect. A renal ultrasound does not provide information about the number and types of blood cells in the bloodstream.

D. Incorrect. While a renal ultrasound can visualize the blood vessels in the kidneys, its primary purpose is to assess kidney structure, not blood flow.

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A nurse is caring for a client with acute renal failure who is receiving hemodialysis. The client's blood pressure drops significantly during the procedure. What is the nurse's priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client at risk for postrenal acute renal failure. What condition should the nurse prioritize in the client's assessment?

Correct Answer is C

Explanation

A nurse is explaining the purpose of a renal ultrasound to a client with acute renal failure. What information can the nurse provide about this imaging test?

Correct Answer is A

Explanation

A nurse is caring for a client with acute renal failure. What medical condition in the client's history increases the risk of prerenal acute 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?

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A nurse is assessing a client with acute renal failure for clinical manifestations of the condition. What symptom is commonly associated with the fluid and electrolyte imbalance seen in acute renal failure?

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