A nurse is providing education to a client about the etiology of acute renal failure. Which statement by the client indicates a correct understanding of the condition?
"Acute renal failure is usually caused by long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs)."
"The primary cause of acute renal failure is chronic kidney disease that progresses over many years."
"The condition occurs suddenly due to a sudden decrease in blood flow to the kidneys or kidney injury."
"Acute renal failure is always caused by urinary tract infections (UTIs) and kidney stones."
The Correct Answer is C
A. Incorrect. While long-term use of NSAIDs can contribute to kidney damage and chronic kidney disease, it is not the primary cause of acute renal failure.
B. Incorrect. Acute renal failure is a sudden and abrupt loss of kidney function, and it is distinct from chronic kidney disease, which develops gradually over time.
C. Correct. Acute renal failure is characterized by a rapid and sudden decline in kidney function, often caused by a sudden decrease in blood flow to the kidneys (prerenal), kidney injury (intrinsiC. , or obstruction of the urinary tract (postrenal).
D. Incorrect. While UTIs and kidney stones can cause kidney injury, they are not the exclusive causes of acute renal failure, which can have various underlying etiologies.
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Related Questions
Correct Answer is C
Explanation
A. Incorrect. Muscle cramps in acute renal failure are often related to electrolyte imbalances, including high potassium levels. Encouraging the consumption of potassium-rich foods would exacerbate the issue.
B. Incorrect. Muscle relaxants may not be appropriate for all clients, and the underlying cause of the muscle cramps should be addressed first.
C. Correct. Applying warm compresses to the affected muscles can help relax muscle tension and provide relief from muscle cramps.
D. Incorrect. Gentle stretching exercises may not be appropriate for a client experiencing muscle cramps, as stretching could exacerbate the discomfort.
Correct Answer is A
Explanation
A. Correct. In acute renal failure, when the kidneys are unable to excrete acids properly, metabolic acidosis can occur. Administering bicarbonate intravenously helps raise the pH levels and correct the acid-base imbalance.
B. Incorrect. Encouraging the client to consume more acidic foods would worsen metabolic acidosis and is not a suitable intervention.
C. Incorrect. Increasing fluid intake is not a specific intervention for correcting metabolic acidosis. The focus should be on addressing the underlying acid-base imbalance.
D. Incorrect. Promoting shallow breathing to retain carbon dioxide is not a recommended intervention for correcting metabolic acidosis. Respiratory acidosis and metabolic acidosis are different types of acid-base imbalances with distinct causes and treatments.
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