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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A healthy stoma should be beefy red and moist, indicating good blood supply and hydration.
Choice B reason: A dusky maroon color could indicate compromised blood supply or ischemia.
Choice C reason: A pale and pink stoma may suggest anemia or reduced blood flow.
Choice D reason: A stoma that is pink and dry could be dehydrated, which is not ideal.
Correct Answer is D
Explanation
Choice A reason: Aspirin can irritate the stomach lining and increase acid reflux, worsening GERD symptoms. It is generally not recommended without consulting a healthcare provider.
Choice B reason : Mercury content in seafood is not directly linked to GERD. This statement is misleading and does not address known risk factors for GERD.
Choice C reason : Lying down after eating can indeed increase the onset of GERD as it allows stomach contents to flow back into the esophagus more easily.
Choice D reason : Alcohol and caffeine can relax the lower esophageal sphincter, allowing stomach acid to rise into the esophagus and worsen GERD symptoms. Therefore, it is advisable to avoid or reduce their intake.
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