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Weeek 4 Sherpath
WEek 4 Nursing Overview of Acute Kidney Injury
| Question | Answer |
|---|---|
| The nurse knows that which laboratory results would indicate acute kidney injury (AKI)? | - Serum creatinine level twice the normal range - Glomerular filtration rate (GFR) decreased by 50% of normal |
| The nurse is aware that which patient is at the highest risk for developing complications from acute kidney injury (AKI)? | A patient being treated for intractable vomiting |
| Which diagnosis would the nurse consider as a prerenal cause of acute kidney injury? | Septic shock |
| Which clinical manifestations might the nurse expect to find in a patient with acute kidney injury (AKI) during the oliguric phase? | - Fatigue - Bounding pulses - Jugular vein distention |
| A nurse is caring for a patient with acute kidney injury (AKI) who currently has an average urinary output of 3 L/day. Which patient symptoms would alert the nurse to further complications during this phase? | - Confusion - Hypotension - Arrhythmias |
| A nurse is caring for a patient with acute kidney injury (AKI) whose lab results have indicated an increased glomerular filtration rate (GFR) and lowered serum creatinine levels. The nurse knows that the patient is in which phase of acute kidney injury? | Recovery |
| Order the pathophysiological process of postrenal acute kidney injury. | - Bilateral ureteral obstruction - Kidney dilation -Increase in hydrostatic pressure and tubular blockage - Decline in kidney function - Tubular atrophy and irreversible kidney fibrosis |
| The nurse can identify that which patients are at risk of developing AKI due to intrarenal causes? | - A patient receiving treatment with aminoglycosides - A patient undergoing an MRI with contrast of the brain - A patient admitted for treatment of systemic lupus erythematosus |
| The nurse knows that a patient with AKI who has been unable to produce urine for 12 hours would be in which stage of AKI? | Failiure |
| A nurse is caring for a patient with AKI that has had 250mL/day urine output for a number of months and BUN as well as creatinine levels have remained elevated. Which outcome would the nurse expect for this patient based on their symptoms? | Onset of chronic kidney disease |
| A patient presents with low urine output and a history of low blood pressure. The nurse suspects that the patient’s acute kidney injury (AKI) is due to which kind of cause? | Prerenal |
| When the nurse began care for a patient with acute kidney injury (AKI), the nurse noted a patient urinary output of 3 L/day, but over the course of a few days this output lowered. The nurse suspects that the patient has begun the recovery phase of AKI if | - Decreased serum creatinine levels- - Increased glomerular filtration rate (GFR) - Decreased blood urea nitrogen (BUN) levels |
Created by:
Brandi Sizemore
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