The nurse is caring for a client admitted with a diagnosis of acute renal failure who asks, "Does this mean my kidneys are failing and I will need a kidney transplant?" The nurse explains which of the following to the client?

Question

1. "Acute kidney failure can be reversed with prompt treatment and usually will not destroy the kidney.".
2. "Kidney transplantation is highly likely, and it would be a good idea to start talking to family members.".
3. "When the doctor comes to see you, we can talk about whether or not you will need a transplant.".
4. "No, don't think that. You're going to be fine.".

Answer 1

1. "Acute kidney failure can be reversed with prompt treatment and usually will not destroy the kidney.".

Rationale:
Acute renal failure is often resolved without the need for transplant if treatment is initiated quickly. There is no need to start lining up donors or wait for the provider to arrive to explore options. Telling the client that everything will be fine is condescending, provides no information, and is not within the nurse's ability to know.