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?

A. Incorrect. Encouraging the client to drink more fluids may not immediately resolve the cloudy dialysate drainage. The nurse needs to assess the client's dialysis technique and the potential cause of the cloudiness.

B. Incorrect. Administering intravenous antibiotics is not the initial intervention for cloudy dialysate drainage. First, the nurse should assess the client's technique and position during dialysis.

C. Correct. Cloudy dialysate drainage may indicate improper dialysate exchange, infection, or other complications. The

nurse should first assess the client's dialysis technique and ensure proper positioning to identify the cause.

D. Incorrect. Discontinuing peritoneal dialysis should be considered if there is clear evidence of infection or other serious complications, but it is not the initial intervention for cloudy drainage without further assessment.

A. Incorrect. Antibiotics are generally safe and are not known to be a risk factor for chronic renal failure.

B. Incorrect. Antihypertensive medications are essential for managing high blood pressure and reducing the risk of kidney damage in individuals with hypertension. They are not considered a risk factor for chronic renal failure.

C. Correct. Proton pump inhibitors (PPIs) are commonly used to treat conditions such as acid reflux and peptic ulcers. Prolonged and high-dose use of PPIs has been associated with an increased risk of kidney disease, including acute interstitial nephritis and chronic kidney disease.

D. Incorrect. Antipyretics such as acetaminophen are generally safe when used appropriately and are not considered a risk factor for chronic renal failure.