Author Question: A 76-year-old patient with acute interstitial nephritis presents with oliguria, altered mental ... (Read 54 times)

bucstennis@aim.com · **on:** Jul 2, 2018

A 76-year-old patient with acute interstitial nephritis presents with oliguria, altered mental status, and edema to his face, hands, and feet. Of the following, which best describes the pathophysiology behind these clinical findings?

A) Increased GFR results in retention of water, electrolytes, and metabolic waste.
B) Na+ and K+ excretion results in diuresis and dehydration.
C) Decreased GFR results in retention of water, electrolytes, and metabolic waste.
D) H+ excretion results in diuresis and alkalosis.

Question 2

Your patient is a motorcyclist who was ejected after striking a guard rail. The patient is unresponsive to painful stimuli and is breathing shallowly six to eight times per minute. Which of the following should you do first?

A) Apply a nonrebreather mask with an oxygen flow rate of 15 lpm.
B) Use a bag-valve mask with supplemental oxygen.
C) Perform a rapid trauma assessment.
D) Apply a cervical collar.

verrinzo · **Reply #1 on:** Jul 2, 2018

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