ACUTE RENAL FAILURE Q&A

ACUTE RENAL FAILURE Q&A

, Acute Renal Failure (ARF)

1. The nurse is admitting a client diagnosed with acute renal failure (ARF). Which question is
most important for the nurse to ask during the admission interview?
1. “Have you recently traveled outside the United States?”
2. “Did you recently begin a vigorous exercise program?”
3. “Is there a chance you have been exposed to a virus?”
4. “What over-the-counter medications do you take regularly?”

2. The nurse is caring for a client diagnosed with ARF. Which laboratory values are most
significant for diagnosing ARF?
1. BUN and creatinine.
2. WBC and hemoglobin.
3. Potassium and sodium.
4. Bilirubin and ammonia level.




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3. The nurse is caring for a client diagnosed with rule-out ARF. Which condition predisposes




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the client to developing prerenal failure?
1. Diabetes mellitus.




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2. Hypotension.
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3. Aminoglycosides.
4. Benign prostatic hypertrophy.
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4. The client is diagnosed with ARF. Which signs/symptoms indicate to the nurse the client is
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in the recovery period? Select all that apply.
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1. Increased alertness and no seizure activity.
2. Increase in hemoglobin and hematocrit.
3. Denial of nausea and vomiting.
4. Decreased urine-specific gravity.
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5. Increased serum creatinine level.
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5. The client diagnosed with ARF has a serum potassium level of 6.8 mEq/L. Which
collaborative treatment should the nurse anticipate for the client?
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1. Administer a phosphate binder.
2. Type and crossmatch for whole blood.
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3. Assess the client for leg cramps.
4. Prepare the client for dialysis.
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6. The nurse is developing a plan of care for a client diagnosed with ARF. Which statement is
an appropriate outcome for the client?
1. Monitor intake and output every shift.
2. Decrease of pain by three (3) levels on a 1-to-10 scale.
3. Electrolytes are within normal limits.
4. Administer enemas to decrease hyperkalemia.