A nurse is caring for a group of clients, who all are incontinent of urine, on the medical-surgical unit. Which comorbidities should the nurse expect to find in their medical records? (Select all that apply.)
Chronic obstructive pulmonary disease (COPD)
Heart failure
Diabetes mellitus
Multiple sclerosis
Correct Answer : A,B,C,D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A.Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.
B.Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.
C.Postoperative clients may have hypovolemia, hypotension, or sepsis, all of which are common triggers of AKI. Surgery-related stress and anesthesia may also decrease renal perfusion.
D.Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.
E. Systemic lupus erythematosus (SLE) can cause lupus nephritis, an intrarenal cause of AKI. An exacerbation increases this risk due to inflammation or immune complex deposition in the kidneys.
Correct Answer is ["A","B","D","E"]
No explanation
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