A nurse is planning care for a client with acute renal failure. What is the priority nursing intervention for this client?

Administering prescribed medications to manage fluid balance.

Monitoring intake and output to assess kidney function.

Providing emotional support to cope with the sudden diagnosis.

Implementing measures to prevent infection and complications.

Answer and Explanation

The Correct Answer is B

A. Incorrect. While administering prescribed medications is important, the priority in acute renal failure is to closely monitor the client's intake and output to assess kidney function and fluid balance.

B. Correct. Monitoring intake and output is a priority nursing intervention in acute renal failure. Accurate assessment of urine output helps determine the client's kidney function and the effectiveness of treatment.

C. Incorrect. Providing emotional support is essential, but it is not the priority over monitoring kidney function and fluid balance.

D. Incorrect. Preventing infection and complications is important, but it is not the priority over assessing kidney function in acute renal failure.

QUESTIONS

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Correct Answer is C

Explanation

A. Incorrect. Hypotension and tachycardia are more commonly associated with fluid depletion, not fluid overload.

B. Incorrect. Dry mucous membranes and decreased skin turgor are signs of dehydration, which is not indicative of fluid overload.

C. Correct. Fluid overload in acute renal failure can lead to pulmonary congestion and edema in the extremities. Crackles in the lungs (rales) are auscultated when there is fluid accumulation in the lung tissue, and edema in the extremities is visible swelling caused by excessive fluid retention.

D. Incorrect. Hypoactive bowel sounds and constipation are not directly related to fluid overload in acute renal failure.

A. Angiotensin-converting enzyme (ACE. inhibitors. B. Beta-blockers. C. Calcium channel blockers. D. Thiazide diuretics.

Correct Answer is A

Explanation

A. Correct. Angiotensin-converting enzyme (ACE. inhibitors can contribute to prerenal acute renal failure, especially in clients with preexisting cardiovascular disease. These medications may cause vasodilation and decrease blood flow to the kidneys, leading to impaired kidney function.

B. Incorrect. Beta-blockers are not directly associated with prerenal acute renal failure.

C. Incorrect. Calcium channel blockers are not typically associated with prerenal acute renal failure.

D. Incorrect. Thiazide diuretics may cause electrolyte imbalances and metabolic disturbances, but they are not a common cause of prerenal acute renal failure.

QUESTIONS

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A nurse is planning care for a client with acute renal failure. What is the priority nursing intervention for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with acute renal failure for signs of fluid overload. Which clinical manifestation is associated with fluid overload in this client?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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 client with acute renal failure is undergoing a computed tomography (CT) scan with contrast dye. What precaution should the nurse take before the procedure?

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 scheduled for a magnetic resonance imaging (MRI) scan. What information should the nurse provide to the client about this imaging test?

A client is admitted to the hospital with acute renal failure, and the nurse is reviewing the client's medication list. Which medication is a common cause of intrinsic acute renal failure?

A client with acute renal failure is at risk of developing hyperkalemia. What clinical manifestation is the most critical indicator of severe hyperkalemia in this client?

A nurse is caring for a client with acute renal failure who is on bed rest. What intervention should the nurse implement to prevent complications of immobility?