A patient with renal failure reports all of the following during the medical history. Which is most likely to have precipitated the patient's renal failure?
a. Recent computed tomography of the brain with and without contrast
b. A recent bout of congestive heart failure after an acute myocardial infarction
c. Twice-daily prescription of Lasix 40 mg by mouth
d. A recent bout of benign prostatic hypertrophy and transurethral resection of the prostate
A
Intravenous contrast media can be nephrotoxic, especially with the patient's pre-existing cardiac disease. The other choices, although possible causes, are less likely than the intravenous contrast media.
You might also like to view...
The nurse, in planning care, considers that the two most common opportunistic infections and malignant neoplasms in the HIV-positive patient are:
1. Streptococcal pneumonitis and myeloma. 2. Streptococcus pneumoniae and malignant melanoma. 3. Pneumocystis jiroveci pneumonitis and Kaposi's sarcoma. 4. Mycoplasmal pneumonia and Kaposi's sarcoma.
The patient is being treated for hypothyroidism. Under which circumstances would the nurse monitor this patient for development of myxedema crisis? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. The patient is injured in an automobile accident. 2. The patient develops a urinary tract infection. 3. The patient accidentally doubled the dose of thyroid replacement medications today. 4. The patient must have surgery for a ruptured appendix. 5. The patient's husband just filed for divorce.
13 y/o with 3 day hx of red urine. You want her to go home for a few days and return for lab work. In teaching her what to avoid, you know she has misunderstood the directions when she tells you she shouldn't ingest any:
a. blackberries b. ibuprofen c. red color foods d. watermelon
A patient has symptoms of adrenocorticoid insufficiency and is having diagnostic testing with administration of cosyntropin (Cortrosyn). The nurse would evaluate that this test shows secondary adrenocortical insufficiency if which result occurs?
1. The patient's plasma level of cortisol rises after injection. 2. The patient has carpal spasms following injection. 3. The patient's urine cortisol fails to rise after injection. 4. The patient flushes after injection.