A 72-year-old patient with a history of chronic hypertension is diagnosed with acute kidney injury (AKI) secondary to contrast-induced nephropathy. Which clinical finding would most likely be present in this patient?

Decreased blood pressure

Metabolic acidosis

Hypocalcemia

Increased urine specific gravity

Answer and Explanation

The Correct Answer is B

A.   Decreased blood pressure is not typically associated with contrast-induced nephropathy. In fact, patients may present with normal or elevated blood pressure, especially in those with a history of chronic hypertension.
B.   Metabolic acidosis is a common complication of acute kidney injury (AKI), including contrast-induced nephropathy. As kidney function declines, the kidneys' ability to excrete acids diminishes, leading to the accumulation of acids in the blood and resulting in metabolic acidosis.
C.   Hypocalcemia is not a common feature of contrast-induced nephropathy. While AKI can cause disturbances in calcium and phosphate balance, hypocalcemia is not typically a predominant finding.
D.   Increased urine specific gravity may not be a significant finding in contrast-induced nephropathy. This condition generally leads to impaired kidney function, which may present with urine output changes, but urine specific gravity can vary depending on the stage of AKI.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Staring spells with a brief loss of awareness are characteristic of absence seizures, not myoclonic seizures.
B. Myoclonic seizures involve sudden, brief, involuntary muscle jerks that typically occur on both sides of the body, which is the key characteristic for this type of seizure.
C. Loss of consciousness followed by confusion is characteristic of tonic-clonic or focal seizures, not myoclonic seizures.
D. Prolonged muscle contractions lasting several minutes describe a tonic seizure, which is distinct from myoclonic seizures.

A. “It is okay to take aspirin with GERD." B. "You should avoid or cut down on alcohol and caffeine which can aggravate GERD." C. There is no causal link between lying down after eating and increased onset of GERD." D. "You should avoid possible mercury-containing foods such as some seafood because of their risk to GERD."

Correct Answer is B

Explanation

A. Aspirin can irritate the gastrointestinal lining, making it unsuitable for patients with GERD.
B. Alcohol and caffeine both relax the lower esophageal sphincter, which can increase the risk of acid reflux and worsen GERD symptoms.
C. Lying down immediately after eating can increase the likelihood of acid reflux and exacerbate GERD symptoms.
D. While mercury-containing seafood can be harmful in other contexts, it is not directly linked to GERD and should not be a primary concern.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 72-year-old patient with a history of chronic hypertension is diagnosed with acute kidney injury (AKI) secondary to contrast-induced nephropathy. Which clinical finding would most likely be present in this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

Correct Answer is B

Explanation

A nurse is educating a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?

Correct Answer is B

Explanation

A patient with COPD is receiving oxygen therapy. Which considerations are important to ensure safe and effective oxygen administration for this patient? (Select All that Apply.)

A patient is diagnosed with gastritis after presenting with abdominal discomfort and nausea. As a nurse, which interventions would be appropriate for managing this patient's condition? (Select All that Apply.)

A 38-year-old construction worker reports hand weakness and difficulty gripping tools. Examination reveals atrophy of the thenar eminence and decreased sensation in the thumb, index, and middle fingers. What diagnostic test would most likely confirm the diagnosis of carpal tunnel syndrome?

A nurse is caring for a client with asthma. Which of the following happens physiologically when bronchospasm occurs?

A nurse is planning care for a client who has hypernatremia. Which of the following IV solutions should the nurse plan to initiate?

A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. After assessing the patient, the nurse notes increased drowsiness and a decreased respiratory rate. What is the most appropriate action for the nurse to take?