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.
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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Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is A
Explanation
A. Correct. Loop diuretics can cause potassium loss and potentially lead to hypokalemia. The nurse should monitor the client's serum potassium levels frequently to assess for any imbalances.
B. Incorrect. While loop diuretics can be given intravenously for rapid action, the administration route depends on the client's condition and the healthcare provider's order.
C. Incorrect. Loop diuretics are used to promote diuresis and fluid removal from the body. Encouraging fluid restriction while on diuretic therapy may exacerbate dehydration and electrolyte imbalances.
D. Incorrect. The timing of loop diuretic administration is determined by the healthcare provider's order and the client's specific needs. Taking diuretics at bedtime may result in increased nighttime urination and sleep disruption.
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