Which of the following is NOT an expected nursing intervention/treatment for chronic renal failure?
Select one:

Diet management

Fluid and electrolyte management.

Dialysis

Continuous IV infusion of sodium and potassium.

Answer and Explanation

The Correct Answer is D

A. Clients with chronic renal failure often need dietary restrictions (e.g., low protein, low sodium, low potassium, fluid control) to reduce kidney workload and manage symptoms.

B. Monitoring and correcting imbalances in electrolytes like potassium, sodium, calcium, and fluid volume is a critical part of nursing care in chronic kidney disease.

C. When kidney function deteriorates significantly, dialysis becomes necessary to remove waste products and excess fluids from the blood.

D. Chronic renal failure patients are often unable to excrete sodium and potassium properly, so infusing them continuously would likely worsen electrolyte imbalances and lead to dangerous complications such as hyperkalemia or fluid overload. This is not a standard treatment.

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Correct Answer is D

Explanation

A. Sodium polystyrene sulfonate removes potassium via the GI tract, but acts slowly and is not used for severe or emergency hyperkalemia.
B. Furosemide is a loop diuretic that can help excrete potassium if kidney function allows, but it is not reliable in acute renal failure.
C. Calcium gluconate is used to stabilize the cardiac membrane, not to lower potassium levels. It prevents arrhythmias but doesn't remove potassium.
D. A combination of dextrose and regular insulin IV is commonly used in emergencies. Insulin drives potassium into the cells, rapidly lowering serum potassium levels, and dextrose prevents hypoglycemia from insulin administration.

A. Informing the surgeon of the situation B. Asking the circulating nurse to look for the sponge C. Looking on the instrument table for the sponge D. Recording that the count was incorrect

Correct Answer is A

Explanation

A. The priority action when a sponge count is incorrect is to immediately notify the surgeon before closing the surgical site. Retained surgical items like sponges can lead to serious complications, including infection and the need for further surgery. Prompt communication ensures patient safety.
B. Although helpful, this is a secondary step. The surgeon must be informed immediately to halt closure and assist in locating the missing sponge.
C. Searching is appropriate, but it should be done after informing the surgeon. Delaying notification risks closure with a retained item.
D. Documentation is important after resolution. It is not the first action in response to a missing sponge during surgery.

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Which of the following is NOT an expected nursing intervention/treatment for chronic renal failure? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with acute renal failure develops severe hyperkalemia. What would the nurse anticipate to be used to treat this imbalance? Select one:

Correct Answer is D

Explanation

A surgeon is performing an abdominal hysterectomy. Before the surgery is completed, the operating room nurse counts the sponges and notes that the sponge count is not correlating with the preoperative count. Which action by the nurse is important?

Correct Answer is A

Explanation

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Which of the following is NOT an expected nursing intervention/treatment for chronic renal failure?
Select one: