A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?

Angiotensin-converting enzyme (ACE. inhibitor

Phosphate binder

Erythropoietin-stimulating agent (ESA.

Potassium-sparing diuretic

Answer and Explanation

The Correct Answer is A

A. Correct. ACE inhibitors are commonly prescribed to manage hypertension and fluid overload in clients with chronic renal failure. These medications help relax blood vessels, reduce fluid retention, and lower blood pressure.

B. Incorrect. Phosphate binders are prescribed to control phosphate levels, but they do not directly address fluid overload and hypertension.

C. Incorrect. Erythropoietin-stimulating agents (ESA. are used to manage anemia in chronic renal failure and do not specifically address hypertension or fluid overload.

D. Incorrect. Potassium-sparing diuretics may not be the first for managing fluid overload and hypertension in chronic renal failure, especially if the client has elevated potassium levels. ACE inhibitors are a more suitable option in this scenario.

QUESTIONS

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Correct Answer is A

Explanation

A. Correct. The GFR test measures how well the kidneys are filtering waste and fluids from the blood. It is an essential indicator of kidney function and is commonly used to diagnose and stage chronic renal failure.

B. Incorrect. The volume of urine produced in 24 hours is measured through a different test called the 24-hour urine collection, not the GFR test.

C. Incorrect. While the GFR test is used to assess kidney function, it is not specific to diagnosing particular kidney diseases like glomerulonephritis.

D. Incorrect. The GFR test does not specifically assess the excretion of potassium and sodium in the urine; instead, it focuses on overall kidney function and filtration rate.

A. Administer pain medication before the test. B. Explain that the GFR test is painless and non-invasive. C. Offer the client relaxation techniques to use during the test. D. Reassure the client that any discomfort will be brief and tolerable.

Correct Answer is B

Explanation

A. Incorrect. Pain medication is not typically administered for a GFR test as the test itself is not painful.

B. Correct. The GFR test is painless and non-invasive. It involves a blood test to measure creatinine levels and does not cause discomfort.

C. Incorrect. While relaxation techniques can be helpful for other procedures, they are not necessary for the GFR test as it does not cause discomfort.

D. Incorrect. Reassuring the client about the brief and tolerable nature of discomfort would be misleading, as the GFR test does not cause discomfort.

QUESTIONS

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A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure asks the nurse about the purpose of a GFR (glomerular filtration ratE. test. What is the nurse's best response?

Correct Answer is A

Explanation

A client with chronic renal failure is concerned about the discomfort associated with the GFR test. What should the nurse do to address the client's concern?

Correct Answer is B

Explanation

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