A nurse is monitoring a client who has acute kidney injury (AKI). Which of the following laboratory findings should the nurse expect?
Elevated BUN
Hypercalcemia
Metabolic alkalosis
Hypokalemia
The Correct Answer is A
Choice A reason: In acute kidney injury (AKI), the blood urea nitrogen (BUN) level is expected to be elevated due to the kidneys' impaired ability to excrete urea, which is a waste product of protein metabolism. Normal BUN levels range from approximately 7 to 20 mg/dL.
Choice B reason: Hypercalcemia is not commonly associated with AKI. Instead, patients with AKI may experience hypocalcemia due to the kidneys' reduced ability to convert vitamin D to its active form, which is necessary for calcium absorption.
Choice C reason: Metabolic alkalosis is not a typical finding in AKI. More commonly, patients with AKI experience metabolic acidosis because the kidneys are unable to excrete acid effectively, leading to an accumulation of acid in the body.
Choice D reason: Hypokalemia is generally not expected in AKI. The condition is more often associated with hyperkalemia, as the impaired kidney function leads to a reduced excretion of potassium, which can accumulate to dangerous levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: The total amount of diphenhydramine required per dose is 50 mg.
Step 2: Each tablet contains 25 mg of diphenhydramine.
Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, 50 mg ÷ 25 mg/tablet.
Step 4: The result is 2 tablets.
So, the nurse should administer 2 tablets per dose. This is already a whole number, so no rounding is necessary.
Correct Answer is A
Explanation
Choice A reason: As CKD progresses, the kidneys' ability to filter blood decreases, leading to an increase in urine albumin, a sign of kidney damage.
Choice B reason: GFR would decrease, not increase, as CKD progresses because the kidneys' filtering capacity diminishes.
Choice C reason: Creatinine levels would increase, not decrease, as kidney function worsens in CKD.
Choice D reason: Proteinuria would increase, not decrease, as CKD progresses due to the kidneys' impaired filtering
ability
.
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