A nurse is educating a client about the common risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?

"Smoking and tobacco use have no impact on the risk of chronic renal failure."

"Chronic renal failure is primarily caused by genetic factors, so lifestyle changes won't make a difference."

"Having a history of kidney stones increases my risk of developing chronic renal failure."

"Conditions like hypertension and diabetes can contribute to the development of chronic renal failure."

Answer and Explanation

The Correct Answer is D

A. Incorrect. Smoking and tobacco use are harmful to the kidneys and can increase the risk of chronic renal failure.

B. Incorrect. While genetic factors may play a role in some cases of chronic renal failure, lifestyle changes can significantly impact the risk and progression of kidney disease.

C. Incorrect. While a history of kidney stones may be associated with an increased risk of kidney damage, it is not a primary risk factor for chronic renal failure.

D. Correct. Conditions such as hypertension and diabetes are two of the leading causes of chronic renal failure. Uncontrolled high blood pressure and elevated blood sugar levels can damage the blood vessels and filtering units of the kidneys, leading to chronic kidney disease over time.

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Correct Answer is B

Explanation

A. Incorrect. While physical activity is essential for overall health, the client's fatigue may be related to anemia, not lack of physical activity.

B. Correct. Fatigue and lethargy are common symptoms of anemia, which is a common complication of chronic renal failure. Iron supplements can help address anemia-related fatigue.

C. Incorrect. Increasing protein intake may not directly address the underlying cause of the client's fatigue, which is likely anemia.

D. Incorrect. Caffeine-containing beverages can contribute to fluid overload and hypertension in chronic renal failure and are not a suitable intervention for addressing fatigue.

A. "The GFR test evaluates your kidney function and helps stage the severity of chronic renal failure." B. "This test measures the volume of urine you produce in 24 hours to assess kidney health." C. "The GFR test is used to diagnose specific kidney diseases, such as glomerulonephritis." D. "It assesses your ability to excrete potassium and sodium in the urine, which affects kidney function."

Correct Answer is A

Explanation

A. Correct. The GFR test measures how well the kidneys are filtering waste and fluids from the blood. It is an essential indicator of kidney function and is commonly used to diagnose and stage chronic renal failure.

B. Incorrect. The volume of urine produced in 24 hours is measured through a different test called the 24-hour urine collection, not the GFR test.

C. Incorrect. While the GFR test is used to assess kidney function, it is not specific to diagnosing particular kidney diseases like glomerulonephritis.

D. Incorrect. The GFR test does not specifically assess the excretion of potassium and sodium in the urine; instead, it focuses on overall kidney function and filtration rate.

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A nurse is educating a client about the common risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?

Correct Answer is B

Explanation

A client with chronic renal failure asks the nurse about the purpose of a GFR (glomerular filtration ratE. test. What is the nurse's best response?

Correct Answer is A

Explanation

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