Which of the following would NOT be a cause of prerenal failure?
Hemorrhage (bleeding out)
Cirrhosis
Kidney disease
Narrowing of the blood vessels leading to the kidneys
The Correct Answer is C
A. Hemorrhage: Hemorrhage leads to significant blood loss, resulting in decreased blood volume and reduced renal perfusion, which is a common cause of prerenal acute kidney injury (AKI).
B. Cirrhosis: Cirrhosis can cause systemic vasodilation and reduced effective circulating volume, leading to decreased renal blood flow and prerenal failure due to impaired kidney perfusion.
C. Kidney disease: Kidney disease itself is an intrinsic (renal) cause of kidney failure, involving direct damage to the kidney tissue, rather than prerenal failure caused by decreased perfusion.
D. Narrowing of the blood vessels leading to the kidneys: Renal artery stenosis reduces blood flow to the kidneys, causing prerenal failure by impairing kidney perfusion despite adequate circulating volume.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Traveling abroad recently: While international travel can expose individuals to infectious diseases, it is not the most concerning factor in this case compared to his communal living situation.
B. Living in a large, crowded communal setting: Crowded living conditions significantly increase the risk of meningitis transmission, especially for bacterial types like Neisseria meningitidis which spread via respiratory droplets.
C. An infection of the brain tissue, typically due to a virus or bacteria: This describes encephalitis, not meningitis. Meningitis affects the protective membranes, not the brain tissue itself.
D. An inflammation of the protective membranes around the brain and spinal cord (meninges): This is the correct definition of meningitis and is the pathological hallmark of the disease.
E. Having an allergy to medications: Having an allergy to medications is important for safe patient care and medication administration, but it is not a risk factor for acquiring meningitis.
F. An inflammation of the lungs caused by a viral or bacterial infection: This describes pneumonia, not meningitis. It is unrelated to the direct cause of meningitis.
Correct Answer is C
Explanation
A. Tubular necrosis: Tubular necrosis refers to the death of tubular epithelial cells in the kidneys, commonly due to ischemia or toxins. This is not the primary defect in Potter syndrome, which involves developmental abnormalities rather than acute tubular injury.
B. Renal hyperplasia: Hyperplasia means increased cell number leading to organ enlargement. Potter syndrome typically involves renal hypoplasia or agenesis rather than hyperplasia, so this is not consistent with the syndrome’s defect.
C. Renal failure: Potter syndrome primarily results from bilateral renal agenesis or severe renal dysplasia, leading to absent or nonfunctional kidneys and subsequent renal failure. The lack of functional kidneys leads to oligohydramnios and the characteristic features of Potter syndrome.
D. Renal metaplasia: Metaplasia refers to abnormal transformation of one differentiated tissue type into another. This process is not the main defect in Potter syndrome, which is related to kidney development failure rather than abnormal tissue differentiation.
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