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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client with an H/H of 12.8 and 38 has lab values within acceptable range for a dialysis patient, especially since anemia is common in this population. This client is stable and does not require immediate assessment.
B. The client who does not have a bruit or thrill in the fistula is the priority. A lack of bruit or thrill may indicate that the arteriovenous (AV) fistula is clotted or not functioning, which is a critical issue. This compromises the client's ability to receive dialysis and requires urgent evaluation.
C. The client who is complaining of fatigue and headache may be experiencing symptoms related to uremia or hypertension, but these are not immediately life-threatening and can be addressed after checking the fistula issue.
D. The client who is complaining of nausea might be experiencing symptoms of fluid overload or uremia, but again, this is less urgent than a potentially non-functioning dialysis access site.
Correct Answer is A
Explanation
A. Prunes and apricots are natural laxatives rich in fiber and sorbitol, which help stimulate bowel movements. This is a safe, non-invasive first-line intervention for opioid-induced constipation.
B. While increasing fluids is helpful for constipation, it is often not sufficient alone when opioids cause decreased gut motility.
C. Enemas are more invasive and should be reserved for when conservative measures (dietary changes, fluids, stool softeners) fail.
D. While reporting is important if constipation worsens or is severe, initial interventions can be implemented by the nurse first.
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