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The risk for contrast media-induced acute tubular necrosis (ATN) is highest in
a. a 70-year-old patient with heart failure.
b. a 50-year-old patient post gallbladder surgery.
c. a 12-year-old patient with recurrent bladder infections.
d. a 30-year-old patient with appendicitis. ---------CORRECT ANSWER-----------------a
70-year-old patient with heart failure.
If acute tubular necrosis (ATN) does not resolve and continued tubular
dysfunction ensues, the patient will then experience
a. oliguria and sodium retention.
b. infections and sepsis.
c. magnesium and phosphorus loss in urine.
d. polyuria and sodium wasting. ---------CORRECT ANSWER-----------------d. polyuria
and sodium wasting.
One of the most frequent causes of chronic kidney disease is
,a. hypertension.
b. glomerulonephritis.
c. chronic pyelonephritis.
d. polycystic kidney disease. ---------CORRECT ANSWER-----------------a.
hypertension
The patient most at risk for postrenal acute kidney injury is a(n)
a. elderly patient with hypertrophy of the prostate.
b. middle-aged woman with bladder infection.
c. young child with reflux at the ureterovesical junction.
d. patient who has both hypertension and diabetes. ---------CORRECT ANSWER-----
------------a. elderly patient with hypertrophy of the prostate.
The defining characteristic of severe acute kidney injury is
a. proteinuria.
b. oliguria.
c. hematuria.
d. diuresis. ---------CORRECT ANSWER-----------------B. Oliguria
A primary laboratory finding in end-stage chronic renal disease is
,a. decreased blood urea nitrogen (BUN).
b. decreased serum sodium.
c. metabolic alkalosis.
d. increased serum creatinine. ---------CORRECT ANSWER-----------------D) Increased
serum creatinine
The condition associated with end-stage chronic renal disease that is the most
immediately life threatening is
a. azotemia.
b. increased creatinine.
c. hypertension.
d. hyperkalemia. ---------CORRECT ANSWER-----------------D. Hyperkalemia
Renal insufficiency occurs when - of the nephrons are not functional.
a. 25%
b. 50%
c. 75% to 90%
d. more than 90% ---------CORRECT ANSWER-----------------c. 75% to 90%
, The effect on the renal tubules during the postoliguric phase of acute tubular
necrosis involves
a. reconstruction of the basement membrane.
b. blocking the tubule lumens by dead cells.
c. making the glomeruli patent again.
d. regeneration of the renal tubular epithelium. ---------CORRECT ANSWER-----------
------d. regeneration of the renal tubular epithelium.
Nephrotic syndrome does not usually cause
a. hyperlipidemia.
b. proteinuria.
c. hematuria.
d. generalized edema. ---------CORRECT ANSWER-----------------C. Hematuria
A person with acute pyelonephritis would most typically experience
a. fever.
b. oliguria.
c. edema.
d. hypertension. ---------CORRECT ANSWER-----------------a. fever