A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?

Encourage regular physical activity to improve energy levels.

Administer iron supplements to address anemia-related fatigue.

Instruct the client to increase protein intake for energy support.

Offer caffeine-containing beverages to combat fatigue.

Answer and Explanation

The Correct Answer is B

A. Incorrect. While physical activity is essential for overall health, the client's fatigue may be related to anemia, not lack of physical activity.

B. Correct. Fatigue and lethargy are common symptoms of anemia, which is a common complication of chronic renal failure. Iron supplements can help address anemia-related fatigue.

C. Incorrect. Increasing protein intake may not directly address the underlying cause of the client's fatigue, which is likely anemia.

D. Incorrect. Caffeine-containing beverages can contribute to fluid overload and hypertension in chronic renal failure and are not a suitable intervention for addressing fatigue.

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Correct Answer is A

Explanation

A. Correct. Fatigue and weakness are early clinical manifestations of chronic renal failure, often due to anemia and the accumulation of waste products in the blood.

B. Incorrect. Hematuria may be present in some cases of kidney dysfunction, but it is not typically an early symptom of chronic renal failure.

C. Incorrect. Shortness of breath and chest pain are more likely to be associated with fluid overload or cardiac issues, which may occur in advanced stages of chronic renal failure.

D. Incorrect. Hyperkalemia is a complication of chronic renal failure but may not be an early clinical manifestation. It is more likely to occur as kidney function declines and potassium excretion becomes impaired.

A. Increase the intake of potassium-rich foods. B. Perform regular weight-bearing exercises. C. Engage in stretching exercises before bedtime. D. Take an over-the-counter calcium supplement.

Correct Answer is C

Explanation

A. Incorrect. Increasing the intake of potassium-rich foods may not be appropriate, especially if the client's potassium levels are already elevated due to chronic renal failure. High potassium levels can lead to muscle cramps.

B. Incorrect. While regular weight-bearing exercises are beneficial for overall health, they may not specifically address or alleviate muscle cramps in chronic renal failure.

C. Correct. Engaging in stretching exercises before bedtime can help reduce the frequency of muscle cramps in clients with chronic renal failure. Stretching can help relax and lengthen muscles, reducing the risk of cramping.

D. Incorrect. Taking over-the-counter calcium supplements without proper evaluation of calcium levels can be dangerous and may contribute to other imbalances in chronic renal failure.

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A nurse is planning care for a client with chronic renal failure who is experiencing fatigue and lethargy. Which nursing intervention should be included in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with chronic renal failure. Which symptom should the nurse prioritize as an early clinical manifestation of kidney dysfunction?

Correct Answer is A

Explanation

A client with chronic renal failure reports experiencing frequent muscle cramps. What should the nurse recommend as an appropriate intervention to alleviate this symptom?

Correct Answer is C

Explanation

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