A nurse is assessing a client with chronic renal failure for fluid overload. Which finding should the nurse prioritize as an early indication of fluid retention?

Increased blood pressure readings.

Shortness of breath and crackles in the lungs.

Decreased serum potassium levels.

Rapid weight loss over a few days.

Answer and Explanation

The Correct Answer is A

A. Correct. An increase in blood pressure readings can be an early indication of fluid retention in a client with chronic renal failure. Fluid overload can lead to hypertension as the kidneys struggle to excrete excess fluids.

B. Incorrect. Shortness of breath and crackles in the lungs are signs of fluid overload but are considered more advanced symptoms. These indicate that fluid has accumulated in the lungs, leading to pulmonary edema.

C. Incorrect. Decreased serum potassium levels (hypokalemiA. are not typically associated with fluid overload. Instead, chronic renal failure often leads to hyperkalemia due to impaired potassium excretion.

D. Incorrect. Rapid weight loss over a few days is not indicative of fluid retention; rather, it may suggest dehydration or inadequate caloric intake.

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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

A. "You need to fast for at least 8 hours before the test." B. "Make sure to drink plenty of water before the test to stay hydrated." C. "Avoid eating red meat and dairy products 24 hours before the test." D. "There are no special preparations needed for the GFR test."

Correct Answer is D

Explanation

A. Incorrect. Fasting is not required for a GFR test.

B. Incorrect. While staying hydrated is essential for overall health, there are no specific hydration requirements before a GFR test.

C. Incorrect. While dietary changes may be necessary for other tests, such as creatinine clearance, there are no specific dietary restrictions for the GFR test.

D. Correct. There are no special preparations needed for a GFR test. The test can be done at any time, regardless of food intake or hydration status.

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A nurse is assessing a client with chronic renal failure for fluid overload. Which finding should the nurse prioritize as an early indication of fluid retention?

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Naxlex Comprehensive Predictor Exams

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

A client with chronic renal failure is scheduled for a GFR test. The client asks the nurse if there is anything they need to do to prepare for the test. What is the nurse's best response?

Correct Answer is D

Explanation

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