A patient is diagnosed with acute kidney injury (AKI) caused by prerenal factors. Which of the following is most likely to have contributed to this condition?
Severe dehydration
Renal calculi
Polycystic kidney disease
Glomerulonephritis
The Correct Answer is A
(A) Severe Dehydration: Prerenal AKI is caused by reduced blood flow to the kidneys. Dehydration leads to hypovolemia, reducing renal perfusion and causing AKI.
(B) Renal Calculi: Postrenal AKI, not prerenal.
(C) Polycystic Kidney Disease: Chronic kidney disease, not acute.
(D) Glomerulonephritis: Intrarenal AKI, due to direct kidney damage
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(A) Positive Inotropic Effect: Sotalol does not increase contractility; it weakens contractions, making it a negative inotrope.
(B) Hypertension: Sotalol primarily lowers blood pressure and heart rate, which can actually cause hypotension.
(C) Negative Inotropic Effect: Sotalol is a beta-blocker that decreases myocardial contractility, which can further reduce cardiac output in heart failure patients.
(D) Hypercholesterolemia: Sotalol does not significantly impact cholesterol levels.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"B"}}
Explanation
Hyperthyroidism:
- Heat Intolerance: Increased metabolism leads to excessive heat production.
- Exophthalmos: Protrusion of the eyes due to autoimmune effects in conditions like Graves’ disease.
- Tremors: Overstimulation of the nervous system causes fine hand tremors.
Hypothyroidism:
- Bradycardia: Reduced thyroid hormone slows metabolism and heart rate.
- Weight Gain: Decreased metabolism leads to fat accumulation.
- Dry Coarse Skin: Reduced metabolism causes decreased sweat and oil production, leading to dry skin.
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