Postrenal acute kidney injury may be caused by:
Severe hypotension
Acute tubular necrosis
Bilateral kidney stones which are partially blocking the flow of urine
Glomerulonephritis
The Correct Answer is C
Choice A reason: Severe hypotension is associated with prerenal acute kidney injury, not postrenal. Prerenal acute kidney injury results from decreased blood flow to the kidneys due to conditions like severe hypotension, leading to reduced kidney perfusion.
Choice B reason: Acute tubular necrosis (ATN) is a form of intrinsic or intrarenal acute kidney injury, not postrenal. ATN is typically caused by prolonged ischemia or exposure to nephrotoxic agents, which directly damage the kidney tubules.
Choice C reason: Postrenal acute kidney injury is caused by an obstruction in the urinary tract that prevents urine from leaving the kidneys, leading to increased pressure and kidney damage. Bilateral kidney stones partially blocking the flow of urine can cause such an obstruction, leading to postrenal acute kidney injury.
Choice D reason: Glomerulonephritis is a type of intrinsic or intrarenal acute kidney injury, not postrenal. It involves inflammation and damage to the glomeruli, the filtering units within the kidneys, and is not typically caused by an obstruction in the urinary tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: There is not a 25% chance that the offspring will be a carrier. In the case of recessive disorders, if one parent is affected (homozygous recessive) and the other parent is a carrier (heterozygous), the offspring has a different probability of being a carrier or affected.
Choice B reason: There is a 50% chance that the offspring will be a carrier. If the mother is affected (aa) and the father is a carrier (Aa), each child has a 50% chance of inheriting one recessive allele (a) from the mother and one normal allele (A) from the father, making them a carrier (Aa).
Choice C reason: There is not a 75% chance that the offspring will be a carrier. The probability of the offspring being a carrier or affected follows specific Mendelian inheritance patterns, which do not result in a 75% carrier rate.
Choice D reason: There is not a 100% chance that the offspring will be a carrier. While there is a significant likelihood of the offspring being affected or a carrier, it is not guaranteed that all offspring will be carriers.
Correct Answer is A
Explanation
Choice A reason: The levodopa/carbidopa combination is commonly used to treat the symptoms of Parkinson's disease. Levodopa is a precursor to dopamine, a neurotransmitter that is deficient in the brains of people with Parkinson's disease. Carbidopa helps prevent the breakdown of levodopa before it reaches the brain, increasing its effectiveness. This combination is widely recognized as an effective treatment for improving motor function in Parkinson's patients. Understanding this combination therapy indicates that the patient is aware of the primary approach to managing their condition.
Choice B reason: While some patients may begin to see improvements in their symptoms within a few days to a week of starting levodopa/carbidopa therapy, it is not guaranteed for all patients. The response to the medication can vary, and some individuals may take longer to notice significant improvements. It is important for patients to have realistic expectations and understand that the treatment response can be individualized.
Choice C reason: While drug therapy can help manage symptoms and improve quality of life in Parkinson's disease, it does not significantly slow the progression of the disease. Parkinson's is a progressive neurodegenerative disorder, and current medications primarily aim to alleviate symptoms rather than alter the course of the disease. Thus, this statement indicates a misunderstanding of the primary purpose of the medication.
Choice D reason: The dosing of Parkinson's medications, including levodopa/carbidopa, is typically adjusted based on the patient's response and symptom control. It is not standard practice to reduce the dose after a couple of months automatically. In fact, over time, some patients may require higher doses or additional medications to maintain symptom control. Therefore, this statement reflects a misunderstanding of the typical management of Parkinson's disease.
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