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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: An INR of 0.9 is within the normal range (0.8-1.2) and does not support the presence of bruising or bleeding disorders.
Choice B reason: A hematocrit level of 28% is below the normal range (36%-50% for women, 40%-54% for men), indicating anemia, but it does not directly explain bruising or petechiae.
Choice C reason: A WBC count of 4500 is within the normal range (4500-11000), suggesting that there is no active infection or leukocytosis that would explain the bruising.
Choice D reason: A platelet count of 60000 is below the normal range (150000-450000), which can lead to easy bruising and petechiae, supporting the nurse's observation.
Correct Answer is A
Explanation
Choice A reason : Smoking tobacco is the most significant risk factor for developing emphysema. It damages the air sacs in the lungs and leads to the characteristic symptoms of emphysema.
Choice B reason : While pollution can contribute to respiratory problems, it is not the most common risk factor for emphysema compared to smoking tobacco.
Choice C reason : Age between 20 to 30 years is not a risk factor for emphysema. Emphysema typically develops after many years of smoking, often in older adults.
Choice D reason : Asthma is a different respiratory condition and is not a risk factor for emphysema. However, individuals with asthma who smoke may have an increased risk of developing COPD, which includes emphysema.
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