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.

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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.

A. Document the seizure activity in the patient's medical record. B. Check the patient's vital signs C. Administer oral antiepileptic medication. D. Place the patient in a side-lying position.

Correct Answer is D

Explanation

A. Documenting the seizure activity is important but should be done after addressing immediate needs.
B. Checking the patient's vital signs is important but is secondary to positioning the patient safely to prevent aspiration.
C. Administering oral antiepileptic medication is necessary but not the first action following a tonic- clonic seizure.
D. Placing the patient in a side-lying position immediately after the seizure ensures that the airway remains open and reduces the risk of aspiration.

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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 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

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Correct Answer is D

Explanation

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