The nurse is reinforcing teaching provided to a patient about risk factors for prerenal injury. Which risk factor should the patient state that indicates understanding of this teaching?
a. "Kidney stones."
b. "Enlarged prostate."
c. "Exposure to nephrotoxins agents."
d. "Use of nonsteroidal anti-inflammatory drugs."
ANS: D
Prerenal injury causes include decreased blood pressure from dehydration, blood loss, shock, trauma to or blockage in the arteries to the kidneys, and NSAIDs and cyclooxygenase-2 inhibitors, which impair the autoregulatory responses of the kidney by blocking prostaglandin, which is necessary for renal perfusion. A. B. Kidney stones and enlarged prostate are risk factors for a postrenal injury. C. Nephrotoxic agents are risk factors for an intrarenal injury.
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