Author Question: A client with acute renal failure is complaining of a metallic taste in the mouth and has no ... (Read 19 times)

tingc95 · **on:** Jun 25, 2018

A client with acute renal failure is complaining of a metallic taste in the mouth and has no appetite. Based on this data, which intervention by the nurse is the most appropriate?

A) Provide mouth care before meals.
B) Administer an antiemetic as prescribed.
C) Restrict fluids.
D) Encourage the intake of protein, salt, and potassium.

Question 2

The community nurse visits the home of a young child who is home from school because of sudden onset of nausea, vomiting, and lethargy.

The nurse suspects acute renal failure. Which clinical manifestations support the nurse's suspicions? Select all that apply.
A) Elevated blood pressure
B) Postural hypotension
C) Wheezing
D) Edema
E) Hematuria

kbennett34 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

A metallic taste in the mouth is due to a build-up of uremia. The nurse should provide mouth care before meals to reduce this taste sensation and improve the client's oral intake. An antiemetic is prescribed for nausea. Restricting fluids will not reduce the metallic taste in the mouth. Encouraging the intake of protein, salt, and potassium will exacerbate the build-up of uremia which is causing the metallic taste in the mouth.

Answer to Question 2

Answer: A, D, E

Pediatric manifestations of acute renal failure characteristically begin with a healthy child who suddenly becomes ill with nonspecific symptoms that indicate a significant illness or injury. These symptoms may include any combination of the following: nausea, vomiting, lethargy, edema, gross hematuria, oliguria, and hypertension. Postural hypotension is a manifestation of acute renal failure in an older person. Wheezing is not a manifestation of acute renal failure.