A client with chronic renal failure presents with swelling in the ankles and legs. What is the nurse's best action?

Apply compression stockings to the client's lower extremities.

Elevate the client's legs to reduce swelling.

Measure the client's blood pressure and pulse rate.

Assess the client's daily protein intake.

Answer and Explanation

The Correct Answer is C

A. Incorrect. Applying compression stockings may help reduce swelling but does not address the underlying cause. Additionally, compression stockings should not be used if the client has arterial insufficiency.

B. Incorrect. Elevation may provide temporary relief from swelling, but it does not address the underlying cause of fluid retention

in chronic renal failure.

C. Correct. The nurse should measure the client's blood pressure and pulse rate to assess for fluid overload and possible hypertension, which can be associated with chronic renal failure.

D. Incorrect. Assessing the client's daily protein intake is not the priority when the client presents with swelling in the ankles and legs. Fluid retention is a more immediate concern that requires assessment and intervention.

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Correct Answer is D

Explanation

A. Incorrect. Hyperthyroidism is not a known risk factor for chronic renal failure. However, uncontrolled thyroid disease may contribute to cardiovascular issues that can impact kidney health.

B. Incorrect. Peptic ulcer disease is not a risk factor for chronic renal failure.

C. Incorrect. Chronic obstructive pulmonary disease (COPD. is not directly associated with an increased risk of chronic renal failure. However, chronic illnesses can place additional stress on the kidneys over time.

D. Correct. Hypertension, or high blood pressure, is a significant risk factor for chronic renal failure. Long-term uncontrolled hypertension can damage the blood vessels in the kidneys, leading to chronic kidney disease.

A. Encourage the client to drink more fluids to clear the drainage. B. Administer intravenous antibiotics to treat a possible infection. C. Evaluate the client's dialysate exchange technique and position. D. Discontinue peritoneal dialysis until the drainage clears.

Correct Answer is C

Explanation

A. Incorrect. Encouraging the client to drink more fluids may not immediately resolve the cloudy dialysate drainage. The nurse needs to assess the client's dialysis technique and the potential cause of the cloudiness.

B. Incorrect. Administering intravenous antibiotics is not the initial intervention for cloudy dialysate drainage. First, the nurse should assess the client's technique and position during dialysis.

C. Correct. Cloudy dialysate drainage may indicate improper dialysate exchange, infection, or other complications. The

nurse should first assess the client's dialysis technique and ensure proper positioning to identify the cause.

D. Incorrect. Discontinuing peritoneal dialysis should be considered if there is clear evidence of infection or other serious complications, but it is not the initial intervention for cloudy drainage without further assessment.

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A client with chronic renal failure presents with swelling in the ankles and legs. What is the nurse's best action?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's risk factors for chronic renal failure. Which medical condition should the nurse recognize as a significant risk factor for kidney disease?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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