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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. A GFR value of 10 mL/min/1.73m² indicates severe kidney dysfunction, not mild impairment.
B. Correct. A GFR value of 10 mL/min/1.73m² is considered very low and indicates severe kidney dysfunction. At this level, the kidneys are severely damaged and unable to effectively filter waste and fluids from the blood.
C. Incorrect. A GFR value of 10 mL/min/1.73m² is much lower than the threshold for moderate kidney dysfunction.
D. Incorrect. A GFR value of 10 mL/min/1.73m² is far below the normal range and indicates significant kidney dysfunction, not normal kidney function.
Correct Answer is D
Explanation
A. Incorrect. Converting the creatinine level to micromoles per liter is not necessary for the GFR calculation.
B. Incorrect. While a 24-hour urine sample can be used to measure creatinine clearance, it is not required for the GFR calculation, which can be estimated using formulas.
C. Incorrect. Calculating the body surface area is not necessary for the GFR calculation.
D. Correct. The GFR can be estimated using formulas that include the serum creatinine level, such as the Modification of Diet in Renal Disease (MDRD. formula or the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.
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