A client is admitted to the hospital with acute renal failure, and the nurse is reviewing the client's medication list. Which medication is a common cause of intrinsic acute renal failure?
Ibuprofen (NSAID. .
Furosemide (loop diuretiC. .
Metformin (antidiabetic drug).
Ciprofloxacin (antibiotiC. .
The Correct Answer is A
A. Correct. Nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen, are known to cause kidney damage and are a common cause of intrinsic acute renal failure, especially when used in high doses or for extended periods.
B. Incorrect. Loop diuretics, such as furosemide, are not typically associated with intrinsic acute renal failure.
C. Incorrect. Metformin is not a common cause of intrinsic acute renal failure. However, it is contraindicated in individuals with severe kidney impairment.
D. Incorrect. While ciprofloxacin and other antibiotics may have renal-related side effects, they are not a common cause of intrinsic acute renal failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Encouraging the client to perform active range-of-motion exercises can help prevent complications of immobility, such as muscle wasting and joint contractures.
B. Incorrect. Elevating the head of the bed primarily benefits respiratory function and does not directly address the complications of immobility.
C. Incorrect. Limiting fluid intake would not prevent complications of immobility and may lead to dehydration.
D. Incorrect. Administering pain medication before passive range-of-motion exercises is not a standard practice and does not directly prevent complications of immobility.
Correct Answer is A
Explanation
A. Correct. Dehydration is a significant risk factor for prerenal acute renal failure. Insufficient fluid intake or excessive fluid loss (e.g., vomiting, diarrheA. can lead to decreased blood volume and decreased blood flow to the kidneys, impairing kidney function.
B. Incorrect. A UTI can cause kidney injury but is not specifically associated with prerenal acute renal failure.
C. Incorrect. Chronic kidney disease (CKD. is a risk factor for the development of intrinsic acute renal failure, but it is not directly related to prerenal causes.
D. Incorrect. Diabetes mellitus is a risk factor for chronic kidney disease, but it is not a specific risk factor for prerenal acute renal failure.
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