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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Aspirin administration is not typically indicated for hyperthermia associated with hyperthyroidism as it may displace thyroid hormone from binding proteins.
B. A calm environment can help prevent exacerbation of symptoms and reduce the risk of a thyroid crisis in hyperthyroid clients.
C. There is no indication to keep the client NPO solely based on hyperthyroidism.
D. Hypocalcemia is not a primary concern in hyperthyroidism. Monitoring for signs of hyperthyroid crisis is more pertinent.

A. Have the client place their head between their knees. B. Have the client breath into a paper bag. C. Plan to administer sodium bicarbonate to the client D. Plan to administer insulin to the client

Correct Answer is B

Explanation

A. Having the client place their head between their knees is a measure used to alleviate symptoms associated with hyperventilation but does not directly address the underlying respiratory alkalosis.
B. Having the client breathe into a paper bag helps retain carbon dioxide, which can help reverse respiratory alkalosis by increasing PaCO2 levels and subsequently decreasing pH.
C. Administering sodium bicarbonate would worsen alkalosis by further increasing the pH and bicarbonate levels.
D. Administering insulin is not indicated for respiratory alkalosis and hyperventilation.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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