A client with an Acute Kidney Injury has been admitted into the medical ICU in the Oliguric phase. Which of the following clinical manifestations should the nurse assess for?

pulmonary edema

hypokalemia

hypernatremia

dehydration

Answer and Explanation

The Correct Answer is A

A. Pulmonary edema: Fluid retention is a hallmark of the oliguric phase, leading to fluid overload and potential pulmonary edema.

B. Hypokalemia: Hyperkalemia, not hypokalemia, is expected in the oliguric phase.

C. Hypernatremia: Hyponatremia, rather than hypernatremia, is more likely due to dilutional effects from fluid retention.

D. Dehydration: Fluid retention and overload are characteristic of this phase, not dehydration.

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Correct Answer is C

Explanation

A. Hematuria is not a typical finding after peritoneal dialysis, although it can occur in some clients with kidney disease.

B. Weight loss is not expected after dialysis; it is more likely to stabilize fluid balance and remove excess fluid.

C. Hypertension can be expected in clients with chronic kidney disease, as the kidneys play a key role in regulating blood pressure.

D. Increased urine output is not typically seen in clients with chronic kidney disease, especially after dialysis.

A. Slow the rate of the dialysis B. Administer zofran C. Place the client in modified Trendelenburg's position D. Administer oxygen via nasal cannula

Correct Answer is C

Explanation

A. Slowing the rate of dialysis may be appropriate if the hypotension persists, but the priority action is to improve circulation immediately.

B. Zofran is used to treat nausea, but it is not the priority in this case.

C. Placing the client in a modified Trendelenburg’s position (head down, feet up) helps improve circulation and increase blood pressure.

D. Administering oxygen may be helpful if oxygen saturation is low, but the primary concern here is addressing hypotension and improving circulation.

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A client with an Acute Kidney Injury has been admitted into the medical ICU in the Oliguric phase. Which of the following clinical manifestations should the nurse assess for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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