medium · NCLEX-RN risk-reduction

The nurse is teaching a client with severe renal impairment about nephrogenic systemic fibrosis after gadolinium exposure.

Which statement by the client indicates a need for further teaching?

  1. Symptoms may not appear until days or weeks after the MRI
  2. Skin thickening can eventually limit movement of my joints, based on the current findings.
  3. If I have no symptoms within 24 hours, nephrogenic systemic fibrosis can no longer develop
  4. Very low kidney function and use of a higher-risk gadolinium agent increase the risk.

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