Medical Surgical Renal Failure #2

Question

A client with hypertension is diagnosed with acute renal failure. Which is a primary goal for the treatment of acute renal failure by the health care team? Select all that apply.

Answers

  1. Resolving acidosis.
    • Rationale:

      This answer is correct because metabolic acidosis is a potentially life-threatening complication associated with acute kidney failure; therefore, resolving acidosis is a primary goal of treatment for this client.

  2. Finding a kidney organ match.
    • Rationale:

      This answer is not correct because although the condition is considered serious, the question is aimed at the goal for the acute renal failure phase, not life-long need for a replacement kidney.

  3. Decreasing serum potassium levels.
    • Rationale:

      This answer is correct because hyperkalemia is a potentially life-threatening complication associated with acute kidney failure; therefore, resolving acidosis is a primary goal of treatment for this client.

  4. Administering non-potassium sparing diuretics.
    • Rationale:

      This answer is correct because hypervolemia is a potentially life-threatening complication associated with acute kidney failure; therefore, the administration of diuretics that are non-potassium sparing (due to the hyperkalemia) is a treatment goal for this client.

  5. Temporary hemodialysis.
    • Rationale:

      This answer is correct because hemodialysis is a treatment where blood is filtered through a dialyzer, removing fluid and wastes from the blood and returning the filtered blood back to the body.

Overview

Acute renal failure is defined as a condition in which the kidneys suddenly cannot filter waste from the blood. Vascular resistance and hypertension with hypervolemia may increase the risks of kidney failure.

Explanation

Learning Outcomes

Vascular resistance and hypertension with hypervolemia may increase the risks of kidney failure. Acute renal failure leads to metabolic acidosis, hypervolemia, and hyperkalemia. Each of these conditions becomes life-threatening for the client who is diagnosed with kidney failure. Therefore the primary goals of treatment include resolving acidosis; decreasing serum potassium levels; and administering non-potassium sparing diuretics.

Test Taking Tip

Consider each choice as true or false as the goals of managing a client who experiences acute kidney failure to answer this question correctly.

Video Rationale