A nurse in the med-surgical ICU is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

Hyperkalemia.

Increased glomerular filtration rate (GFR).

Decreased creatinine level.

Hypovolemia.

Answer and Explanation

The Correct Answer is A

Choice A reason: Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to reduced excretion of potassium by the kidneys. This electrolyte imbalance can have serious cardiac effects and should be expected and monitored in these patients.

Choice B reason: An increased glomerular filtration rate (GFR) would not be expected in the oliguric phase of acute kidney injury. Typically, GFR is decreased due to reduced kidney function during this phase.

Choice C reason: Decreased creatinine levels are not expected in acute kidney injury. Creatinine levels usually increase as kidney function declines and the body cannot adequately filter waste.

Choice D reason: Hypovolemia is not typically expected in the oliguric phase of acute kidney injury, as oliguria (reduced urine output) often indicates fluid retention rather than fluid loss.

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Correct Answer is C

Explanation

Choice A reason: Increased urinary output is not a manifestation of peritonitis. Peritonitis affects the peritoneal cavity, leading to abdominal symptoms rather than changes in urinary output.

Choice B reason: Hyperactive bowel sounds can occur in various gastrointestinal conditions but are not specific to peritonitis. Peritonitis typically presents with abdominal pain and tenderness.

Choice C reason: Abdominal tenderness/pain is a key manifestation of peritonitis. Inflammation of the peritoneum causes significant discomfort, and patients may also exhibit signs of infection such as fever and increased white blood cell count.

Choice D reason: Bradycardia is not commonly associated with peritonitis. Peritonitis primarily affects the abdominal cavity and may lead to systemic symptoms like fever and tachycardia, but not typically bradycardia.

A. High purine diet B. High protein diet C. Not exercising enough D. Taking too much of the prescribed medication

Correct Answer is D

Explanation

Choice A reason: A high purine diet is more commonly associated with gout and hyperuricemia, not cholinergic crisis.

Choice B reason: A high protein diet is not directly related to cholinergic crisis. The crisis is related to medication levels rather than dietary factors.

Choice C reason: Not exercising enough is not a direct cause of cholinergic crisis. Physical activity levels do not impact the balance of acetylcholine in the body in this context.

Choice D reason: A cholinergic crisis occurs due to excessive accumulation of acetylcholine, often from taking too much of prescribed anticholinesterase medications. This can lead to overstimulation of the neuromuscular junction and symptoms such as muscle weakness and respiratory distress.

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A nurse in the med-surgical ICU is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Explanation

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