Final answer:
To prevent or reduce the risk of contrast induced nephropathy, hydration, administration of N-acetylcysteine, and the use of low-osmolar contrast agents are effective. All these strategies together provide the best protection for the kidneys.
Step-by-step explanation:
The pre-treatment strategies that can prevent or reduce the risk of contrast induced nephropathy include: hydration, the administration of N-acetylcysteine, and the use of low-osmolar contrast agents. These methods are all designed to minimize the stress and potential harm to the kidneys when contrast media is used. Hydration ensures that the kidneys are well-flushed, reducing the concentration of contrast media within the kidneys. N-acetylcysteine acts as an antioxidant to protect the kidney tissue. Low-osmolar contrast agents are less likely to cause nephrotoxicity due to their reduced osmolarity compared to high-osmolar agents. Therefore, the correct answer is (4) All of the above.