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 D
Explanation
A. Incorrect. Fasting is not typically required before a renal nuclear scan.
B. Incorrect. The renal nuclear scan does not directly measure the glomerular filtration rate (GFR), which is typically assessed through blood tests.
C. Incorrect. A renal nuclear scan does not involve inserting a catheter into the bladder to obtain a urine sample.
D. Correct. A renal nuclear scan, also known as a renal scintigraphy, involves injecting a small amount of radioactive material intravenously. The radioactive material is taken up by the kidneys, and the scan creates images that assess kidney function and blood flow.
QUESTIONS
Correct Answer is C
Explanation
A. Incorrect. Decreased blood volume and hypovolemia may contribute to prerenal acute renal failure, but they are not the primary pathophysiological processes that lead to edema in acute renal failure.
B. Incorrect. Increased vascular permeability and leakage of fluid into tissues are not the primary mechanisms of edema in acute renal failure.
C. Correct. In acute renal failure, the impaired filtration and reduced excretion of fluid by the kidneys lead to fluid retention and edema in various parts of the body.
D. Incorrect. Excessive fluid intake and fluid overload may contribute to fluid retention and edema in prerenal acute renal failure, but they are not the primary pathophysiological process in acute renal failure.
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