A nurse is teaching a client about the risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?
"Being physically active and maintaining a healthy weight can increase my risk of chronic renal failure."
"Having a family history of kidney disease does not play a role in my risk for chronic renal failure."
"Regularly consuming a high-sodium diet can protect my kidneys from damage."
"Conditions such as hypertension and diabetes can contribute to the development of chronic renal failure."
The Correct Answer is D
A. Incorrect. Being physically active and maintaining a healthy weight can actually reduce the risk of chronic renal failure, as it helps to control blood pressure and blood sugar levels, which are risk factors for kidney disease.
B. Incorrect. Having a family history of kidney disease can increase the risk of chronic renal failure, as genetics can play a role in the development of kidney problems.
C. Incorrect. Consuming a high-sodium diet can actually be harmful to the kidneys, as it can lead to hypertension and contribute to kidney damage.
D. Correct. Conditions such as hypertension and diabetes are well-established risk factors for chronic renal failure. These conditions can cause damage to the blood vessels and filtering units of the kidneys over time, leading to kidney dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. While a GFR value of 60 mL/min/1.73m² is within the normal range for some populations, it is considered below the normal range for adults and indicates some level of kidney dysfunction.
B. Correct. A GFR value of 60 mL/min/1.73m² indicates mild kidney impairment. While it may not be severely compromised, it still represents some level of kidney dysfunction.
C. Incorrect. A GFR value of 60 mL/min/1.73m² is not considered moderate kidney dysfunction. It is within the mild impairment range.
D. Incorrect. A GFR value of 60 mL/min/1.73m² is not indicative of severely damaged kidneys. Severe kidney dysfunction would have a much lower GFR value.
Correct Answer is C
Explanation
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.
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