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A client suffering from acute renal failure has an unexpected increase in urinary output to 150ml/HR. The nurse assesses that the client has entered the second phase of acute renal failure. Nursing actions throughout this phase include observation for signs and symptoms of



A. Hypervolemia, hypokalemia, and hypernatremia.
B. Hypervolemia, hyperkalemia, and hypernatremia.
C. Hypovolemia, wide fluctuations in serum sodium and potassium levels.
D. Hypovolemia, no fluctuation in serum sodium and potassium levels.

This question is part of Renal Failure (Acute & Chronic) by RNpedia.com
Asked by RN pedia, Last updated: Feb 18, 2020

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John Smith

John Smith

Answered Sep 28, 2016

Hypovolemia, wide fluctuations in serum sodium and potassium levels.

The second phase of ARF is the diuretic phase or high output phase. The diuresis can result in an output of up to 10L/day of dilute urine. Loss of fluids and electrolytes occur.
 1

John Adney

The second phase is the oliguric phase. Which you would have hyperkalemia, hypocalcemia, hypermagnesemia.

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