The nurse knows that acute kidney injury from post renal etiology is caused by what?
Explanation & Rationale
Rationale: A. Conditions that interfere with renal perfusion is incorrect because this describes pre-renal acute kidney injury (AKI). Pre-renal AKI occurs when blood flow to the kidneys is reduced due to hypovolemia, hypotension, heart failure, or shock, leading to decreased glomerular filtration. B. Conditions that act directly on functioning kidney tissue is incorrect because this describes intrinsic or intra-renal AKI, where the injury is within the kidney itself. Causes include acute tubular necrosis, nephrotoxic medications, infections, or glomerulonephritis. C. Obstruction of the flow of urine is correct because post-renal AKI occurs when urine cannot exit the kidney, causing backpressure that damages renal function. Common causes include kidney stones, ureteral strictures, bladder outlet obstruction, or enlarged prostate. Early recognition and relief of the obstruction are critical to prevent permanent kidney damage. D. Hypovolemia or decreased cardiac output is incorrect because these are pre-renal causes of AKI, not post-renal. While they reduce renal perfusion, they do not directly block urine flow, which is the defining feature of post-renal AKI.