Acute Kidney Failure

Acute Kidney Failure ( 49 Questions)

Question 4 :
A nurse is assessing a client with acute renal failure for signs of fluid overload. Which clinical manifestation is associated with fluid overload in this client?


Correct Answer: C

A) Incorrect. Hypotension and tachycardia are more commonly associated with fluid depletion, not fluid overload.

B) Incorrect. Dry mucous membranes and decreased skin turgor are signs of dehydration, which is not indicative of fluid overload.

C) Correct. Fluid overload in acute renal failure can lead to pulmonary congestion and edema in the extremities. Crackles in the lungs (rales) are auscultated when there is fluid accumulation in the lung tissue, and edema in the extremities is visible swelling caused by excessive fluid retention.

D) Incorrect. Hypoactive bowel sounds and constipation are not directly related to fluid overload in acute renal failure.


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