The nurse is concerned that an older adult client is at risk for developing acute renal failure. Which information in the client's history support the nurse's concern?

Question

Select all that apply.
A) Diagnosed with hypotension
B) Recent aortic valve replacement surgery
C) Prescribed high doses of intravenous antibiotics
D) Total hip replacement surgery 5 years ago
E) Taking medication for type 2 diabetes mellitus

Answer 1

Answer: A, B, C

Older adults develop acute renal failure more frequently because of the higher incidence of serious illnesses, hypotension, major surgeries, diagnostic procedures, and treatment with nephrotoxic drugs. Decreased kidney function associated with aging also puts the older client at risk for kidney failure. Hypotension, scheduled for aortic valve replacement surgery, and receiving high doses of intravenous antibiotics increase this client's risk for developing acute renal failure. A previous history of major surgery and current treatment for type 2 diabetes mellitus are not identified risk factors for the development of acute renal failure.