A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?
Urine output is less than 400 mL per 24 hr.
BUN and creatinine levels decrease.
Renal function is reestablished.
The glomerular filtration rate (GFR) recovers
The Correct Answer is A
A. Oliguria, characterized by urine output less than 400 mL per 24 hours, is a hallmark of the oliguric phase of acute kidney injury.
B. BUN and creatinine levels typically increase during the oliguric phase due to decreased kidney function.
C. Renal function is not reestablished during the oliguric phase; this phase represents reduced kidney function.
D. The glomerular filtration rate remains decreased during the oliguric phase.
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Related Questions
Correct Answer is B
Explanation
A. Respiratory Acidosis, both compensated and uncompensated, is characterized by an elevated PaCO2, which is not present in this case.
B. The elevated pH (7.5) and HCO3 (34 mmol/L) indicate metabolic alkalosis. The elevated pH and the slightly elevated PaCO2 (40 mm Hg) suggest the partially compensated state, which is the respiratory compensation attempting to correct the alkalosis.
C. The fact that the PaCO2 is not low rules out respiratory alkalosis.
D. The arterial blood gas values indicate a high pH (7.5), a normal PaCO2 (40 mm Hg), and an elevated HCO3 (34 mmol/L), which are indicative of metabolic alkalosis. However, the elevated pH and the slightly elevated PaCO2 (40 mm Hg) suggest a partially compensated state.
Correct Answer is ["A","B","D"]
Explanation
A. Bone pain can occur in ESRD due to mineral and bone disorders associated with chronic kidney disease.
B. Slurred speech can be seen in ESRD patients with uremic encephalopathy.
C. Hypotension is less common in ESRD; hypertension is more typical due to fluid overload and retention.
D. Pruritus is a common symptom of ESRD, often due to accumulation of uremic toxins.
E. Bradypnea is not typically associated with ESRD.
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