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 C

Explanation

A. Ondansetron is an antiemetic commonly used to prevent nausea and vomiting, and it is not typically associated with nephrotoxicity.
B. Diphenhydramine is an antihistamine used for allergy symptoms and as a sleep aid. It is not known to cause nephrotoxicity.
C. Vancomycin is an antibiotic that can cause nephrotoxicity, especially when administered in high doses or in individuals with impaired renal function. Monitoring renal function is crucial when using vancomycin.
D. Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion and treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. It is not associated with nephrotoxicity.

A. Pathologic fractures B. Impaired skin integrity C. Fluid retention D. Dysphagia

Correct Answer is A

Explanation

A. Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
B. This is not directly associated with hyperparathyroidism.
C. Hyperparathyroidism typically leads to hypercalcemia, which can result in polyuria and dehydration rather than fluid retention.
D. This is not directly associated with hyperparathyroidism.

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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

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