Chronic renal failure

Chronic renal failure ( 47 Questions)

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?


Correct Answer: 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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