Exam 36: Management of Clients with Renal Failure

A nurse is planning care for a client who has chronic kidney disease. Which of the following interventions would help the client meet a priority outcome?

The nurse caring for a client in the diuretic phase of acute renal failure (ARF) should assess for manifestations of

In caring for a chronic dialysis patient with an arteriovenous fistula, the nurse would

Three months after a kidney transplant, a client develops fever, graft tenderness, malaise, and elevated white blood cell count. The nurse conducts further assessments based on understanding that the likely cause of these manifestations is

The nurse is conducting peritoneal dialysis for a client with renal failure and finds the drainage tubing has no outflow. The priority action that the nurse would take is to

The nurse explains that a cation exchange resin such as Kayexalate will

During peritoneal dialysis the client's dialysate white blood cell count is 150/mm³ and neutrophils are 60%. This would indicate that the client has developed

During a client's first dialysis treatment, the client complains of a severe headache and appears somewhat confused. The priority action by the nurse's is to

The client with chronic renal failure who would not be a candidate for peritoneal dialysis is a client

To assess the effect of epoetin alfa on a client with chronic renal failure, the nurse would monitor

The nurse performing intermittent peritoneal dialysis notes that the medical record shows the client has not had a bowel movement for 3 days. The nurse would be careful to assess the client for

The nurse monitoring a client load for risks of acute renal failure (ARF) understands that older clients are more susceptible to ARF because (Select all that apply)

A client with renal failure has an order to infuse dopamine (Intropin) to activate the dopamine receptors in the kidney. The nurse would set the infusion rate for

The nurse assesses the client for the electrolyte imbalance that tends to occur in the earlier stages of chronic renal failure, which is

The nurse notes in the first few exchanges during peritoneal dialysis of a client that the effluent is tinged pink. The nurse's most appropriate action is to

A client with ARF is allowed a specific amount of fluid by mouth during 24 hours in order to

To help the peritoneal dialysis client who is complaining of low back pain associated with increased weight in the abdomen, the nurse would suggest

For the nurse trying to assist a client with renal failure to stay within the prescribed fluid restriction, the least helpful strategy would be to

A client has been found to be an acceptable candidate for a kidney transplant. The nurse counsels the client and family that the client now faces the greatest impediment to renal transplantation, which is

The nurse explains to a client with chronic renal failure that the rationale for receiving calcium carbonate is that it