A client with acute renal failure is scheduled for a magnetic resonance imaging (MRI) scan. What information should the nurse provide to the client about this imaging test?
"You will need to drink a contrast solution before the MRI scan."
"The MRI scan will assess your kidney function by measuring the glomerular filtration rate (GFR)."
"The procedure involves inserting a needle through the back to obtain a tissue sample from the kidneys."
"You will need to remove all metal objects and devices before the MRI scan."
The Correct Answer is D
A. Incorrect. Unlike computed tomography (CT) scans, MRI scans do not typically require the ingestion of a contrast solution.
B. Incorrect. The MRI scan does not directly measure the glomerular filtration rate (GFR), which is typically assessed through blood tests.
C. Incorrect. A renal biopsy involves inserting a needle through the back to obtain a tissue sample from the kidneys, not an MRI scan.
D. Correct. Before an MRI scan, clients need to remove all metal objects and devices, including jewelry, piercings, hearing aids, and certain medical implants. Metal can interfere with the MRI's magnetic field and cause safety concerns during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Muscle weakness and fatigue are manifestations of hyperkalemia, but they are not the most critical indicators of severe hyperkalemia.
B. Incorrect. Tingling sensations in the extremities are not the most critical indicator of severe hyperkalemia.
C. Correct. The most critical manifestation of severe hyperkalemia is an irregular heart rhythm (dysrhythmiA. , which can be life-threatening.
D. Incorrect. Excessive thirst and dry mucous membranes are not specific to hyperkalemia and are not the most critical indicators of severe hyperkalemia.
Correct Answer is C
Explanation
A. Incorrect. While long-term use of NSAIDs can contribute to kidney damage and chronic kidney disease, it is not the primary cause of acute renal failure.
B. Incorrect. Acute renal failure is a sudden and abrupt loss of kidney function, and it is distinct from chronic kidney disease, which develops gradually over time.
C. Correct. Acute renal failure is characterized by a rapid and sudden decline in kidney function, often caused by a sudden decrease in blood flow to the kidneys (prerenal), kidney injury (intrinsiC. , or obstruction of the urinary tract (postrenal).
D. Incorrect. While UTIs and kidney stones can cause kidney injury, they are not the exclusive causes of acute renal failure, which can have various underlying etiologies.
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