A patient with acute kidney injury has a serum creatinine level that continues to rise despite improved blood pressure and urine output. Which additional assessment is most important?
Correct answer: A. Recent exposure to contrast or nephrotoxic medicines
- A. Recent exposure to contrast or nephrotoxic medicines
- B. Preference for sweet or salty foods
- C. Usual bedtime and sleeping position
- D. History of seasonal nasal symptoms
Explanation
Contrast agents and medicines such as aminoglycosides or nonsteroidal anti-inflammatory drugs can cause intrinsic renal injury. Identifying a nephrotoxic exposure allows the healthcare team to stop or replace the causative agent when appropriate.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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50 free Renal and Urological Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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