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LOC, urinary output, and ABGs are important monitoring aspects for a client in renal failure, but hyperkalemia is potentially life threatening and should be addressed first as the primary intervention.

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If treatment with a single medicine fails to lower blood pressure enough, a different medicine may be tried or another medicine may be added to the first.

However, the National Heart, Lung, and Blood Institute in Bethesda, Maryland released new clinical guidelines for blood pressure in 2003, lowering the standard normal readings.

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