The nurse is caring for an older client with a decreased number of functional nephrons. What effects on the renal system should the nurse expect to assess in this client? (Select all that apply.)
1. Increased risk of dehydration
2. Increased risk of kidney failure
3. Decreased number of white blood cells
4. Increased risk for acid-base imbalances
5. Decreased ability to conserve water and sodium
Answer: 1, 2, 4, 5
1. A decrease in nephrons increases the risk for dehydration.
2. A decrease in nephrons increases the risk for kidney failure.
3. A decrease in nephrons does not affect white blood cells.
4. A decrease in nephrons increases the risk for acid-base imbalances.
5. A decrease in nephrons decreases the ability to conserve water and sodium.
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