Which of the following clients would be considered to have a significant risk of developing the prerenal form of acute renal failure? Select all that apply
A)
A 22-year-old male who has lost large amounts of blood following a workplace injury
B)
A 41-year-old female who is admitted for intravenous antibiotic treatment of pyelonephritis
C)
A 79-year-old male with diagnoses of poorly controlled diabetes mellitus and heart failure
D)
A 20-year-old male who is admitted for treatment of an overdose of a nephrotoxic drug
E)
A 68-year-old male with a diagnosis of benign prostatic hyperplasia (BPH)
F)
An 80-year-old female who has been admitted for the treatment of dehydration and malnutrition
Ans:
A, C, F
Feedback:
Hemorrhage, heart failure, and dehydration (hypovolemia) are all noted contributors to prerenal failure. Pyelonephritis and damage from nephrotoxic drugs would more likely result in intrinsic renal failure, while BPH is postrenal in nature.
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