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Exam 4: Acute Kidney Injury NCLEX Questions and Answers $13.99   Add to cart

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Exam 4: Acute Kidney Injury NCLEX Questions and Answers

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a c Which descriptions characterize AKI? Select all that apply a. primary cause of death is infection b. it almost always affects older people c. disease course is potentially reversible d. most common cause is diabetic nephropathy e. cardiovascular disease is most common cause of...

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  • August 12, 2022
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  • 2022/2023
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Exam 4: Acute Kidney Injury NCLEX
Questions
a
c - Answer Which descriptions characterize AKI? Select all that apply

a. primary cause of death is infection
b. it almost always affects older people
c. disease course is potentially reversible
d. most common cause is diabetic nephropathy
e. cardiovascular disease is most common cause of death

b
d - Answer During the oliguric phase of AKI, the nurse monitors the patient for Select all
that apply

a. hypotension
b. ECG changes
c. hypernatremia
d. pulmonary edema
e. urine with high specific gravity

c - Answer If a patient is in the diuretic phase of AKI, the nurse must monitor for which
serum electrolyte imbalances?

a. hyperkalemia and hyponatremia
b. hyperkalemia and hypernatremia
c. hypokalemia and hyponatremia
d. hypokalemia and hypernatremia

b - Answer The nurse is caring for a 68-yr-old man who had coronary artery bypass
surgery 3 weeks ago. During the oliguric phase of acute kidney disease, which action
would be appropriate to include in the plan of care?

a. Provide foods high in potassium.
b. Restrict fluids based on urine output.
c. Monitor output from peritoneal dialysis.
d. Offer high-protein snacks between meals.

d - Answer When caring for a patient during the oliguric phase of acute kidney injury
(AKI), which nursing action is appropriate?

a. Weigh patient three times weekly.
b. Increase dietary sodium and potassium.

, c. Provide a low-protein, high-carbohydrate diet.
d. Restrict fluids according to previous daily loss

d - Answer Which patient diagnosis or treatment is most consistent with prerenal acute
kidney injury (AKI)?

a. IV tobramycin
b. Incompatible blood transfusion
c. Poststreptococcal glomerulonephritis
d. Dissecting abdominal aortic aneurysm

a - Answer The patient has rapidly progressing glomerular inflammation. Weight has
increased and urine output is steadily declining. What is the priority nursing
intervention?

a. Monitor the patient's cardiac status.
b. Teach the patient about hand washing.
c. Obtain a serum specimen for electrolytes.
d. Increase direct observation of the patient.

a
b
e - Answer Which assessment findings would alert the nurse that the patient has
entered the diuretic phase of acute kidney injury (AKI)? Select all that apply

a. Dehydration
b. Hypokalemia
c. Hypernatremia
d. BUN increases
e. Urine output increases

a - Answer An unlicensed assistive personnel (UAP) reports to the RN that a patient
with acute kidney failure had a urine output of 350 mL over the past 24 hours after
receiving furosemide 40 mg IV push. The UAP asks the nurse how this can happen.
What is the nurse's best response?

a. "During the oliguric phase of acute kidney failure, patients often do not respond well
to either fluid challenges or diuretics."
b. "There must be some sort of error. Someone must have failed to record the urine
output."
c. "A patient with acute kidney failure retains sodium and water, which counteracts the
action of the furosemide."
d. "The gradual accumulation of nitrogenous waste products results in the retention of
water and sodium."

a

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