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 ["A","B","D","E","F"]

Explanation

A. Increasing fiber intake through vegetables and whole grains is recommended as it helps manage blood sugar levels and promotes overall health.
B. Monitoring blood glucose levels regularly is essential for individuals with diabetes to assess their condition and adjust their treatment plan accordingly.
C. Consuming sugary drinks to maintain energy levels is not appropriate as sugary drinks can cause blood sugar spikes and worsen diabetes control.
D. Engaging in at least 150 minutes of moderate-intensity aerobic exercise per week is beneficial for managing blood sugar levels, improving insulin sensitivity, and overall cardiovascular health.
E. Reducing alcohol consumption is recommended as excessive alcohol intake can interfere with blood sugar control and interact with diabetes medications.
F. Limiting carbohydrate intake, focusing on complex carbohydrates, helps prevent blood sugar spikes and promotes better diabetes management.
G. Relying solely on medication without lifestyle changes is not appropriate. Lifestyle modifications are essential in managing Type 2 diabetes effectively alongside medications.

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 58-year-old male with a new diagnosis of Type 2 Diabetes Mellitus is being educated on lifestyle modifications to manage his condition. Which of the following interventions would be appropriate to recommend? (Select All that Apply.)

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Explanation

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Explanation

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