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?

Encourage regular physical activity to improve energy levels.

Administer iron supplements to address anemia-related fatigue.

Instruct the client to increase protein intake for energy support.

Offer caffeine-containing beverages to combat fatigue.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is C

Explanation

A. 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.

B. Incorrect. The GFR test does not assess blood glucose levels; it is primarily used to evaluate kidney function.

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

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

A. "You should avoid touching the dialysis catheter site to prevent infection." B. "You will need to weigh yourself daily and record your weight in a log." C. "Peritoneal dialysis requires frequent visits to the dialysis center for treatments." D. "You can administer pain medication before starting the dialysis exchange."

Correct Answer is A

Explanation

A. Correct. Touching the dialysis catheter site increases the risk of infection, and clients receiving peritoneal dialysis must practice meticulous catheter care to minimize this risk.

B. Incorrect. While daily weight monitoring is essential for clients on peritoneal dialysis, it is not specifically related to peritoneal dialysis care.

C. Incorrect. Peritoneal dialysis is a home-based treatment, and the client performs the dialysis exchanges themselves. There is no need for frequent visits to the dialysis center.

D. Incorrect. Pain medication is not typically needed before starting a peritoneal dialysis exchange, as the procedure itself is not painful. Proper technique and sterile care are the main focus of peritoneal dialysis education.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is providing discharge education to a client with chronic renal failure who will be receiving peritoneal dialysis at home. What should the nurse include in the client's education about peritoneal dialysis care?

Correct Answer is A

Explanation

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