The nurse will review a critically ill patient's history for which causes of intrinsic renal failure? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. Contrast media given intravenously during diagnostic imaging
2. Prescribed levothyroxine (Synthroid) following thyroidectomy
3. Acyclovir (Zovorax) prescribed for treatment of genital herpes
4. Receiving prophylactic chemotherapy after surgery for cancer
5. History of using high-dose NSAIDs for rheumatoid arthritis


1,3,5
Rationale 1: Drugs that have been implicated in the development of renal failure include contrast media.
Rationale 2: Levothyroxine (Synthroid) does not have any nephrotoxic side effects.
Rationale 3: Drugs that have been implicated in the development of renal failure include acyclovir.
Rationale 4: Chemotherapeutic agents have other systemic side effects such as bone marrow suppression and alopecia.
Rationale 5: Drugs that have been implicated in the development of renal failure include nonsteroidal anti-inflammatory drugs (NSAIDs).

Nursing

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