The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?

Electrolytes are within normal limits.

Blood pressure is decreased to 120/80

Decrease of pain by 3 points on a 1-10 scale.

The client will understand how to care for the AV fistula

Answer and Explanation

The Correct Answer is A

A. Electrolytes are within normal limits: Acute Renal Failure (ARF) leads to electrolyte imbalances (↑ K+, ↑ BUN/creatinine, metabolic acidosis). A successful treatment goal is restoring normal electrolyte balance.

B. Blood pressure is decreased to 120/80. BP control is important but not the primary goal in ARF.

C. Decrease of pain by 3 points on a 1-10 scale. Pain control is important, but not the main indicator of ARF improvement.

D. The client will understand how to care for the AV fistula. This applies to chronic kidney disease clients on hemodialysis, not ARF management.

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Correct Answer is D

Explanation

A. Hypotension: Fluid overload typically causes hypertension, not hypotension.

B. Polyuria: ESRD patients typically have oliguria or anuria, not excessive urine output.

C. Weight loss: Fluid overload leads to weight gain due to fluid retention.

D. Edema: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function. Clients may also experience hypertension, dyspnea, and crackles.

A. Pace the client on seizure precautions B. Encourage the client to breath slowly C. Plan to administer sodium bicarbonate to the client D. Have the client breath into a paper bag

Correct Answer is A

Explanation

A. Place the client on seizure precautions: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.

B. Encourage the client to breathe slowly: Slow breathing retains CO₂, which worsens alkalosis. The body needs hypoventilation, but this cannot be forced.

C. Plan to administer sodium bicarbonate to the client: Sodium bicarbonate worsens alkalosis and is only used in metabolic acidosis, not alkalosis.

D. Have the client breathe into a paper bag: This is a treatment for respiratory alkalosis, not metabolic alkalosis.

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The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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