An 84-year-old woman diagnosed with cancer is admitted to the oncology 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 may contribute to AKI? Select all that apply.
A) Anxiety
B) Low BMI
C) Age-related physiologic changes
D) Chronic systemic disease
E) NPO status
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 presence of chronic, systemic diseases increases the risk of AKI. Low BMI and anxiety are not risk factors for acute renal disease. NPO status is not a risk, provided adequate parenteral hydration is administered.
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