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."
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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Related Questions
Correct Answer is B
Explanation
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
Correct Answer is C
Explanation
A. Incorrect. Increasing the rate of dialysis may further lower the client's blood pressure and worsen the situation.
B. Incorrect. Administering an antihypertensive medication during a hypotensive episode could exacerbate the client's low blood pressure.
C. Correct. The nurse's priority action is to stop the dialysis procedure immediately and notify the healthcare provider of the significant drop in blood pressure. The client may be experiencing a hypotensive episode, which requires prompt evaluation and intervention.
D. Incorrect. Increasing the client's
fluid intake is not appropriate during a hypotensive episode, as it may not rapidly improve blood pressure and could lead to fluid overload.
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