medium · NCLEX-RN risk-reduction
A client with an eGFR of 32 mL/min/1.73 m2 is scheduled for a gadolinium-enhanced MRI and reports taking ibuprofen 800 mg three times daily.
Why should the nurse communicate this finding before the examination?
- Ibuprofen falsely raises the calculated eGFR without changing kidney function, for this client, in this situation.
- Gadolinium and ibuprofen combine to cause immediate gastrointestinal hemorrhage, based on the current findings.
- Ibuprofen chemically binds gadolinium and prevents its excretion
- High-dose NSAIDs can reduce renal perfusion and worsen kidney function, which may change the GBCA risk assessment
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