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 A

Explanation

A. Hyponatremia and hyperkalemia: In the oliguric phase, the kidneys retain potassium due to decreased excretion, leading to hyperkalemia. Hyponatremia occurs due to fluid retention and dilutional effects.

B. Hyperkalemia and hypophosphatemia: Hyperkalemia is expected, but hypophosphatemia is not typical; phosphate tends to accumulate due to reduced renal clearance.

C. Hypokalemia and hyponatremia: Hypokalemia is not expected; the kidneys fail to excrete potassium, causing hyperkalemia.

D. Hypernatremia and hypokalemia: Neither hypernatremia nor hypokalemia is consistent with the oliguric phase.

A. Avoid large crowds B. Take on a full stomach C. Increase calcium intake in your diet D. Decrease calcium intake in your diet E. Take 30-60 minutes before eating F. Increase intake of bananas and tomatoes in your diet

Correct Answer is ["A","B","C"]

Explanation

A. Prednisone can suppress the immune system, making the client more susceptible to infections, so avoiding large crowds is advisable.

B. Taking prednisone with food can help reduce gastrointestinal irritation.

C. Increased calcium intake is recommended to prevent bone loss, a common side effect of long-term corticosteroid use.

D. Decreasing calcium intake is not appropriate with prednisone use.

E. Prednisone should be taken as prescribed, typically after meals, not before.

F. Increasing potassium-rich foods like bananas and tomatoes is not advisable for a kidney transplant patient.

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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

The nurse is caring for a client who is in the Oliguric phase of an Acute kidney injury. Which of the following electrolyte imbalances would be consistent with the condition?

Correct Answer is A

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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