An 84-year-old female diagnosed with cancer is admitted to your unit for surgical treatment. The patient has been on chemotherapeutic agents to decrease the tumor size prior to the planned surgery
The nurse caring for the patient is aware that what precipitating factors in this patient contribute to acute renal failure? (Mark all that apply.)
A) Anxiety
B) Minimal social support
C) Normal aging
D) Chronic systemic disease
E) Chemotheraputic agents
Ans: C, D
Feedback: Changes in kidney function with normal aging increase the susceptibility of elderly patients to kidney dysfunction and renal failure. In addition, the incidence of systemic diseases, such as atherosclerosis, hypertension, heart failure, diabetes, and cancer, increases with advancing age, predisposing older adults to renal disease associated with these disorders. Anxiety and minimal social support would need to be addressed in this patient, but they are not precipitating factors for acute renal disease.
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