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Acute Care Nurse Practitioner Exam Prep

Category - Acute Care Nurse Practioner Practice Test

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The NP assess that the cause of the patient’s acute Tubular Necrosis is a nephrotoxic agent, probably the contrast that was used for the computerized tomography scan of the abdomen. What would be a nursing goal to prevent further damage to the kidneys for this patient?
  1. Prevent further exposure to the causative agent
  2. Monitor the creatinine and blood, urea, nitrogen levels (BUN)
  3. Hold the daily furosemide and diabetic medications
  4. Ensure that daily labs are ordered to monitor kidney function
Explanation
Answer: A - A nursing goal that would protect the patient from future damage to the kidneys would be to prevent further exposure to the causative agent. This could be done through documentation and alerts put in the medical record of the patient. Changing medications and ordering laboratory studies needs to be done under the direction of the doctor.
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