The nurse is admitting a patient who was diagnosed with acute renal failure. Which electrolyte should the nurse expect to be most affected with this disorder?
Phosphorous.
Magnesium.
Potassium.
Calcium.
The Correct Answer is C
Choice A rationale:
While acute renal failure can affect phosphorus levels, potassium is the electrolyte most commonly affected in this condition. Kidneys play a crucial role in regulating potassium levels in the body, and when they fail, potassium levels can become dangerously elevated.
Choice B rationale:
Acute renal failure can lead to alterations in magnesium levels, but potassium is typically more affected. Magnesium imbalances may occur but are not the primary concern in this condition.
Choice C rationale:
As mentioned earlier, potassium imbalances are common in acute renal failure. The nurse should closely monitor the patient's potassium levels and be prepared to intervene if they become too high or too low.
Choice D rationale:
Calcium levels may also be affected in acute renal failure, but potassium remains the most critical electrolyte to monitor in this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Potential Condition.
Based on the provided information, it's challenging to make a definitive diagnosis with the given laboratory results and clinical presentation. The client's symptoms, such as severe abdominal pain, vomiting, dyspnea, yellow sclera, dry mucous membranes, tachycardia, and positive Chvostek and Trousseau signs, suggest a complex clinical picture that requires further investigation and assessment. Action to Take 1: Notify the provider. Rationale: The client's condition appears to be critical and requires immediate medical attention. Notifying the provider will initiate a comprehensive evaluation and potential interventions. Action to Take 2: Withhold medication for diarrhea until the underlying cause is determined. Rationale: Diarrhea can be a symptom of various conditions, and administering medication without a clear diagnosis may mask important clinical information. Parameters to Monitor 1: Serum bicarbonate level.
Rationale:
Monitoring serum bicarbonate levels can help identify potential acid-base imbalances and assess the client's metabolic status, especially given the history of end-stage renal disease. Parameters to Monitor 2: Intake and Output. Rationale: Monitoring intake and output is essential to assess fluid balance and kidney function, especially in a client with end- stage renal disease and potential electrolyte imbalances.
Correct Answer is ["A","B","D"]
Explanation
The correct answer is choices A, B, and D. Here are the rationales for each choice:
Choice A rationale:
Sweet potatoes are an excellent source of potassium. One medium sweet potato contains about 542 mg of potassium, making it a great option for a high-potassium diet.
Choice B rationale:
Bananas are well-known for their high potassium content. A medium banana provides approximately 451 mg of potassium, which is beneficial for maintaining proper muscle and nerve function.
Choice C rationale:
Grapes are not particularly high in potassium compared to other fruits. They contain some potassium, but not enough to be considered a significant source for a high-potassium diet.
Choice D rationale:
Watermelon is a good source of potassium. Two wedges of watermelon contain about 640 mg of potassium, making it a suitable choice for increasing potassium intake.
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