A client with severe sepsis related to an untreated rectal/vaginal fistula is admited to the ﬂoor. She has received two doses of Gentamicin. As luck would have it, she is now in acute renal failure. Which type of renal failure did the Gentamicin cause?

Pre-Renal

Super-secret double renal failure

Post-Renal

Intra-Renal

Answer and Explanation

The Correct Answer is D

Choice A reason: Pre-Renal failure is caused by factors external to the kidneys, typically involving reduced blood ﬂow or hydration aﬀecting kidney function. Gentamicin does not typically cause this type of failure.
Choice B reason : 'Super-secret double renal failure' is not a medically recognized type of renal failure.
Choice C reason : Post-Renal failure is due to obstruction of urine ﬂow from the kidneys, which is not typically associated with Gentamicin use.
Choice D reason : Intra-Renal failure, also known as intrinsic renal failure, is caused by direct damage to the kidneys themselves. Gentamicin can cause acute kidney injury due to its nephrotoxic eﬀects, leading to Intra-Renal failure.

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Correct Answer is C

Explanation

Choice A reason: Respiratory Acidosis is characterized by a low pH and a high PCO2, which is not the case here.

Choice B reason: Respiratory Alkalosis would involve a high pH and a low PCO2, which is not consistent with the patient's PCO2 level.

Choice C reason: Metabolic Alkalosis is indicated by a high pH and a high HCO3, which matches the patient's blood gas values.

Choice D reason: Metabolic Acidosis would show a low pH and a low HCO3, which is the opposite of this patient's presentation.

A. "I should avoid the use of tanning booths." B. "I should use sunscreen even on cloudy days." C. "I should check my skin monthly for any changes." D. "Eating a high-fiber diet will reduce my risk for developing skin cancer."

Correct Answer is D

Explanation

Choice A reason: Avoiding tanning booths is correct and does not indicate a need for further teaching.

Choice B reason: Using sunscreen even on cloudy days is correct and does not indicate a need for further teaching.

Choice C reason: Checking the skin monthly for any changes is correct and does not indicate a need for further teaching.

Choice D reason: The statement about eating a high-fiber diet reducing the risk for developing skin cancer indicates a misunderstanding, as there is no direct correlation between a high-fiber diet and the prevention of skin cancer. This indicates a need for further teaching.

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A client with severe sepsis related to an untreated rectal/vaginal fistula is admited to the ﬂoor. She has received two doses of Gentamicin. As luck would have it, she is now in acute renal failure. Which type of renal failure did the Gentamicin cause?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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