Author Question: The nurse is teaching a client who is diagnosed with renal insufficiency. Which functions of the ... (Read 61 times)

nautica902 · **on:** Jul 23, 2018

The nurse is teaching a client who is diagnosed with renal insufficiency. Which functions of the kidneys should the nurse include in the teaching session?(Select all that apply.)

1. Secrete the enzyme renin.
2. Stimulate red blood cell production.
3. Aid in digestion.
4. Regulate fluid balance.
5. Help maintain blood pressure.

Question 2

A client is in chronic renal failure. Based on this diagnosis, what would the nurse anticipate the client might require regarding medications?

1. Higher dosages of medications than would a client with normally functioning kidneys
2. The same medication dosage as would a client with normally functioning kidneys
3. Lower dosage in most medications
4. A kidney transplant

jamesnevil303 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1, 2, 4, 5

Rationale 1: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acidbase balance of body fluids. They also secrete the enzyme renin, which helps to control blood pressure and erythropoietin, a hormone that stimulates red blood cell production. In addition, the kidneys are responsible for the production of calcitriol, the active form of vitamin D, which helps maintain bone homeostasis.
Rationale 2: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acidbase balance of body fluids. They also secrete the enzyme renin, which helps to control blood pressure and erythropoietin, a hormone that stimulates red blood cell production. In addition, the kidneys are responsible for the production of calcitriol, the active form of vitamin D, which helps maintain bone homeostasis.
Rationale 3:Aid in digestion is incorrect because this is a function of the GI tract and accessory organs.
Rationale 4: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acidbase balance of body fluids. They also secrete the enzyme renin, which helps to control blood pressure and erythropoietin, a hormone that stimulates red blood cell production. In addition, the kidneys are responsible for the production of calcitriol, the active form of vitamin D, which helps maintain bone homeostasis.
Rationale 5: The kidneys secrete the enzyme renin, which helps to control blood pressure.

Global Rationale: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acidbase balance of body fluids. They also secrete the enzyme renin, which helps to control blood pressure and erythropoietin, a hormone that stimulates red blood cell production. In addition, the kidneys are responsible for the production of calcitriol, the active form of vitamin D, which helps maintain bone homeostasis. Aid in digestion is incorrect because this is a function of the GI tract and accessory organs.

Answer to Question 2

3

Rationale 1:Higher dosages of medications than would a client with normally functioning kidneys is incorrect because most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure, which is classified as acute or chronic.
Rationale 2:The same medication dosage as would a client with normally functioning kidneys is incorrect because most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure.
Rationale 3: Because the kidneys excrete most drugs, most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure, which is classified as acute or chronic. The client at some point might require a kidney transplant, but until then, the medication dosage would have to be adjusted.
Rationale 4:A kidney transplant is incorrect because the client might require a kidney transplant at some point, but this is not related to medication administration.

Global Rationale: Because the kidneys excrete most drugs, most medications will require a significant dosage reduction in patients with moderate-to-severe renal failure, which is classified as acute or chronic. The client at some point might require a kidney transplant, but until then, the medication dosage would have to be adjusted. Administering the average dose to a patient in severe renal failure can kill a patient.