A client with severe sepsis related to an untreated rectal/vaginal fistula is admited to the floor. She has received two doses of Gentamicin. As luck would have it, she is now in acute renal failure. Which type of renal failure did the Gentamicin cause?
Pre-Renal
Super-secret double renal failure
Post-Renal
Intra-Renal
The Correct Answer is D
Choice A reason: Pre-Renal failure is caused by factors external to the kidneys, typically involving reduced blood flow or hydration affecting kidney function. Gentamicin does not typically cause this type of failure.
Choice B reason : 'Super-secret double renal failure' is not a medically recognized type of renal failure.
Choice C reason : Post-Renal failure is due to obstruction of urine flow from the kidneys, which is not typically associated with Gentamicin use.
Choice D reason : Intra-Renal failure, also known as intrinsic renal failure, is caused by direct damage to the kidneys themselves. Gentamicin can cause acute kidney injury due to its nephrotoxic effects, leading to Intra-Renal failure.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Pre-Renal failure is caused by factors external to the kidneys, typically involving reduced blood flow or hydration affecting kidney function. Gentamicin does not typically cause this type of failure.
Choice B reason : 'Super-secret double renal failure' is not a medically recognized type of renal failure.
Choice C reason : Post-Renal failure is due to obstruction of urine flow from the kidneys, which is not typically associated with Gentamicin use.
Choice D reason : Intra-Renal failure, also known as intrinsic renal failure, is caused by direct damage to the kidneys themselves. Gentamicin can cause acute kidney injury due to its nephrotoxic effects, leading to Intra-Renal failure.
Correct Answer is C
Explanation
Choice A reason: While it is important to address any questions the patient may have, it is not the highest priority before an IVP procedure.
Choice B reason: Asking the patient to void before the procedure is a standard practice, but it is not the highest priority. The bladder should be empty to allow for clear imaging, but this can be managed at the time of the procedure.
Choice C reason: Checking for an allergy to iodine or shellfish is the highest priority because the contrast medium used in an IVP can cause severe allergic reactions in patients with these allergies. This assessment must be done before administering the contrast to prevent potentially life-threatening complications.
Choice D reason: Assessing the client's ability to remain still is important for the quality of the images, but it is not as critical as ensuring the safety of the patient regarding potential allergic reactions.
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