Nursing care for renal failure includes which of the following?

• A. Increase Protein Intake And Restrict Fluids.
• B. Avoid Monitoring I&O And Weight; Rely On Symptoms Only.
• C. Monitor Weight, I&O, Vital Signs; Limit Nephrotoxic Medications; Control Protein Intake; Low Sodium, Potassium, Phosphorus, And Magnesium; High Carbohydrate Diet.
• D. Maintain A High-Sodium Diet To Prevent Hyponatremia.

Answer: (C)

Managing renal failure revolves around carefully balancing fluids and electrolytes, protecting kidney function, and providing adequate energy through diet. The best nursing approach includes monitoring daily weight and intake/output, tracking vital signs to catch fluid overload or hypertension early, avoiding nephrotoxic medications, restricting protein to reduce uremic toxin buildup, and limiting sodium, potassium, phosphorus, and magnesium while emphasizing a high-carbohydrate diet for energy. This combination helps prevent edema, electrolyte disturbances, and worsening azotemia, while meeting the body's energy needs when kidney function is reduced. Avoiding reliance on symptoms alone, and not increasing protein or adopting a high-sodium diet, are important because they can worsen the condition or promote fluid and electrolyte imbalance.