Med Surg Questions and Answers
The nurse is caring for a client with acute renal failure. The most
serious complication for this client is - ANSInfection is responsible
for one third of the traumatic or surgically induced deaths of clients
with acute renal failure, as well as for medically induced acute
renal failure. Resistance is reduced in clients with kidneys that fail
because of decreased phagocytosis, which makes them susceptible
to microorganisms. Anemia occurs often with acute renal failure,
but it is not the most serious complication and should be treated in
relation to the client's adaptations; erythropoietin and iron
supplements usually are prescribed. Weight loss is not life
threatening. Platelet dysfunction occurs because of decreased cell
surface adhesiveness, but it is not as serious as an infection.
A client is diagnosed with acute kidney failure secondary to
dehydration. An intravenous (IV) infusion of 50% glucose with
regular insulin is prescribed. The nurse concludes that the primary
purpose of the IV insulin for this client is to: - ANSThe 50%
glucose and regular insulin infusion treats the hyperkalemia
associated with kidney failure; it moves potassium from the
intravascular compartment into the intracellular compartment.
Insulin will not increase urinary output. Insulin is not a treatment
for respiratory acidosis. Insulin and glucose do not increase serum
calcium levels.
The nurse is caring for a client with acute renal failure. The most
serious complication for this client is - ANSInfection is responsible
for one third of the traumatic or surgically induced deaths of clients
with acute renal failure, as well as for medically induced acute
renal failure. Resistance is reduced in clients with kidneys that fail
because of decreased phagocytosis, which makes them susceptible
to microorganisms. Anemia occurs often with acute renal failure,
but it is not the most serious complication and should be treated in
relation to the client's adaptations; erythropoietin and iron
supplements usually are prescribed. Weight loss is not life
threatening. Platelet dysfunction occurs because of decreased cell
surface adhesiveness, but it is not as serious as an infection.
A client is diagnosed with acute kidney failure secondary to
dehydration. An intravenous (IV) infusion of 50% glucose with
regular insulin is prescribed. The nurse concludes that the primary
purpose of the IV insulin for this client is to: - ANSThe 50%
glucose and regular insulin infusion treats the hyperkalemia
associated with kidney failure; it moves potassium from the
intravascular compartment into the intracellular compartment.
Insulin will not increase urinary output. Insulin is not a treatment
for respiratory acidosis. Insulin and glucose do not increase serum
calcium levels.
