A nurse is providing education to a client about acute renal failure. Which statement by the client indicates a correct understanding of the condition?

"Acute renal failure is a chronic condition that develops gradually over time."

"This condition is caused by long-term damage to the kidneys due to uncontrolled diabetes."

"Acute renal failure is a sudden and temporary loss of kidney function."

"It occurs when the kidneys are unable to filter waste products from the blood."

Answer and Explanation

The Correct Answer is C

A. Incorrect. Acute renal failure is not a chronic condition; it is an acute condition that develops rapidly and is typically reversible with prompt treatment.

B. Incorrect. While long-term uncontrolled diabetes can lead to chronic kidney disease, acute renal failure is not caused by chronic kidney damage related to diabetes.

C. Correct. Acute renal failure, also known as acute kidney injury (AKI), is characterized by a sudden and temporary loss of kidney function. It is often caused by factors such as decreased blood flow to the kidneys, kidney damage, or obstruction of the urinary tract.

D. Incorrect. While the statement is partially true, it does not capture the acute and sudden nature of acute renal failure. The inability of the kidneys to filter waste products from the blood is one of the manifestations of AKI.

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Correct Answer is C

Explanation

A. Incorrect. Hypotension and tachycardia are more commonly associated with fluid depletion, not fluid overload.

B. Incorrect. Dry mucous membranes and decreased skin turgor are signs of dehydration, which is not indicative of fluid overload.

C. Correct. Fluid overload in acute renal failure can lead to pulmonary congestion and edema in the extremities. Crackles in the lungs (rales) are auscultated when there is fluid accumulation in the lung tissue, and edema in the extremities is visible swelling caused by excessive fluid retention.

D. Incorrect. Hypoactive bowel sounds and constipation are not directly related to fluid overload in acute renal failure.

A. Encourage the client to increase sodium intake. B. Limit fluid intake to the prescribed amount. C. Administer intravenous fluids rapidly to replace lost fluids. D. Encourage the client to drink water freely to promote diuresis.

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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A nurse is providing education to a client about acute renal failure. Which statement by the client indicates a correct understanding of the condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with acute renal failure for signs of fluid overload. Which clinical manifestation is associated with fluid overload in this client?

Correct Answer is C

Explanation

A client with acute renal failure is experiencing fluid overload. What intervention should the nurse implement to manage the client's fluid balance effectively?

Correct Answer is B

Explanation

A client is admitted to the hospital with acute renal failure, and the nurse is reviewing the client's medication list. Which medication is a common cause of intrinsic acute renal failure?

A nurse is caring for a client with acute renal failure who is at risk for impaired skin integrity. What intervention should the nurse implement to prevent skin breakdown?

A nurse is caring for a client with acute renal failure who has elevated serum creatinine levels. What is the significance of elevated creatinine levels in this client?

A client with acute renal failure is scheduled for a renal biopsy. What information should the nurse provide to the client about this procedure?

A client with acute renal failure has a history of cardiovascular disease and is on multiple antihypertensive medications. Which antihypertensive medication class is most likely to contribute to prerenal acute renal failure?

A nurse is caring for a client with acute renal failure who is prescribed hemodialysis. The client asks, "What is the purpose of hemodialysis?" What is the nurse's best response?

A nurse is caring for a client with acute renal failure who is on a potassium-restricted diet. What foods should the nurse instruct the client to avoid due to their high potassium content?

A nurse is caring for a client with acute renal failure who is undergoing a renal nuclear scan. What information should the nurse provide to the client about this diagnostic test?