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.
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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Related Questions
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.
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.
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