A nurse is caring for a postoperative 70-kg client who had major blood loss during surgery. Which findings by the nurse should prompt immediate action to prevent acute kidney injury? (Select all that apply.)
a. Urine output of 100 mL in 4 hours
b. Urine output of 500 mL in 12 hours
c. Large amount of sediment in the urine
d. Amber, odorless urine
e. Blood pressure of 90/60 mm Hg
Question 2The nurse is caring for five clients on the medical-surgical unit. Which clients would the nurse consider to be at risk for post-renal acute kidney injury (AKI)? (Select all that apply.)
a. Man with prostate cancer
b. Woman with blood clots in the urinary tract
c. Client with ureterolithiasis
d. Firefighter with severe burns
e. Young woman with lupus
Question 3A client is hospitalized in the oliguric phase of acute kidney injury (AKI) and is receiving tube feedings. The nurse is teaching the client's spouse about the kidney-specific formulation for the enteral solution compared to standard formulas.
What components should be discussed in the teaching plan? (Select all that apply.)
a.
Lower sodium
b.
Higher calcium
c.
Lower potassium
d.
Higher phosphorus
e.
Higher calories
Question 4The nurse is teaching a client how to increase the flow of dialysate into the peritoneal cavity during dialysis. Which statement by the client demonstrates a correct understanding of the teaching?
a. I should leave the drainage bag above the level of my abdomen.
b. I could flush the tubing with normal saline if the flow stops.
c. I should take a stool softener every morning to avoid constipation.
d. My diet should have low fiber in it to prevent any irritation.
Question 5A nurse reviews these laboratory values of a client who returned from kidney transplantation 12 hours ago:
Sodium
136 mEq/L
Potassium
5 mEq/L
Blood urea nitrogen (BUN)
44 mg/dL
Serum creatinine
2.5 mg/dL
What initial intervention would the nurse anticipate?
a.
Start hemodialysis immediately.
b.
Discuss the need for peritoneal dialysis.
c.
Increase the dose of immunosuppression.
d.
Return the client to surgery for exploration.
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