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?

Hypovolemia.

Glomerulonephritis.

Prostate enlargement.

Urinary tract obstruction.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Hypovolemia is associated with prerenal acute renal failure, not intrinsic acute renal failure.

B. Correct. Glomerulonephritis is one of the common causes of intrinsic acute renal failure. It is characterized by inflammation of the glomeruli in the kidneys, which can lead to kidney damage and impaired function.

C. Incorrect. Prostate enlargement is associated with postrenal acute renal failure due to urinary tract obstruction, not intrinsic causes.

D. Incorrect. Urinary tract obstruction is also associated with postrenal acute renal failure, not intrinsic causes.

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Correct Answer is B

Explanation

A. Incorrect. Increasing sodium intake would exacerbate fluid retention and worsen the client's fluid overload.

B. Correct. Limiting fluid intake to the prescribed amount helps manage fluid balance in clients with acute renal failure, especially those experiencing fluid overload.

C. Incorrect. Rapid administration of intravenous fluids may worsen fluid overload and increase the risk of edema and hypertension.

D. Incorrect. Encouraging the client to drink water freely would exacerbate fluid overload and impair the body's ability to eliminate excess fluids.

A. "Acute renal failure is usually caused by long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs)." B. "The primary cause of acute renal failure is chronic kidney disease that progresses over many years." C. "The condition occurs suddenly due to a sudden decrease in blood flow to the kidneys or kidney injury." D. "Acute renal failure is always caused by urinary tract infections (UTIs) and kidney stones."

Correct Answer is C

Explanation

A. Incorrect. While long-term use of NSAIDs can contribute to kidney damage and chronic kidney disease, it is not the primary cause of acute renal failure.

B. Incorrect. Acute renal failure is a sudden and abrupt loss of kidney function, and it is distinct from chronic kidney disease, which develops gradually over time.

C. Correct. Acute renal failure is characterized by a rapid and sudden decline in kidney function, often caused by a sudden decrease in blood flow to the kidneys (prerenal), kidney injury (intrinsiC. , or obstruction of the urinary tract (postrenal).

D. Incorrect. While UTIs and kidney stones can cause kidney injury, they are not the exclusive causes of acute renal failure, which can have various underlying etiologies.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with acute renal failure is experiencing fluid overload. What intervention should the nurse implement to manage the client's fluid balance effectively?

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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

A nurse is caring for a client with acute renal failure who has elevated serum creatinine levels. What is the significance of elevated creatinine levels in this client?

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

A nurse is assessing a client with acute renal failure for respiratory complications. What respiratory manifestation is commonly associated with acute renal failure?

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)?

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

A client with acute renal failure is experiencing metabolic acidosis. Which intervention should the nurse anticipate to help correct the acid-base imbalance?