A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 50 mL/min/1.73m². How should the nurse interpret this result?
The client has normal kidney function.
The client has mild kidney impairment.
The client has moderate kidney dysfunction.
The client's kidneys are severely damaged.
The Correct Answer is C
A. Incorrect. A GFR value of 50 mL/min/1.73m² indicates some level of kidney dysfunction, not normal kidney function.
B. Incorrect. A GFR value of 50 mL/min/1.73m² indicates moderate kidney dysfunction, not mild impairment.
C. Correct. A GFR value of 50 mL/min/1.73m² is considered to represent moderate kidney dysfunction. This level of GFR indicates that the kidneys are not effectively filtering waste and fluids from the blood.
D. Incorrect. While a GFR value of 50 mL/min/1.73m² indicates kidney dysfunction, it does not represent severe kidney damage. Severe kidney dysfunction would have a much lower GFR value.
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Related Questions
Correct Answer is D
Explanation
A. Incorrect. Administering an antiemetic medication may help relieve nausea, but it is not the priority action in a client with chronic renal failure experiencing anorexia and nausea.
B. Incorrect. Encouraging the client to increase protein intake is not appropriate if they are experiencing anorexia and nausea. Protein intake may need to be adjusted based on the client's symptoms and kidney function.
C. Incorrect. While assessing serum electrolyte levels is important in chronic renal failure, it is not the priority action in this situation. The client's anorexia and nausea require immediate attention.
D. Correct. Monitoring the client's weight and fluid intake is the priority action when the client is experiencing anorexia and nausea. These symptoms may indicate fluid and electrolyte imbalances that need to be addressed promptly.
Correct Answer is A
Explanation
A. Correct. Fatigue and weakness are early clinical manifestations of chronic renal failure, often due to anemia and the accumulation of waste products in the blood.
B. Incorrect. Hematuria may be present in some cases of kidney dysfunction, but it is not typically an early symptom of chronic renal failure.
C. Incorrect. Shortness of breath and chest pain are more likely to be associated with fluid overload or cardiac issues, which may occur in advanced stages of chronic renal failure.
D. Incorrect. Hyperkalemia is a complication of chronic renal failure but may not be an early clinical manifestation. It is more likely to occur as kidney function declines and potassium excretion becomes impaired.
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