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. Insulin administration is not indicated for metabolic alkalosis.
B. Breathing into a paper bag is a treatment for respiratory alkalosis, not metabolic alkalosis.
C. Metabolic alkalosis can lead to cardiac dysrhythmias due to electrolyte imbalances, particularly hypokalemia. Continuous cardiac monitoring is essential to promptly identify and manage any dysrhythmias that may occur.
D. Administering sodium bicarbonate would exacerbate metabolic alkalosis and is not indicated.

A. The client's voice is hoarse. B. The client reports tingling around the mouth C. Moderate serosanguinous drainage noted on neck dressing. D. The client has a slight tremor noted in both hands. E. The client's temperature has increased in 1 hr from 375° C (99.5° F) to 38.6°C (101.5 F) F. The client appears restless G. Oxygen saturation 95%

Correct Answer is ["A","B","C","D","E","F"]

Explanation

The nurse should report the hoarseness of the client's voice, which could indicate recurrent laryngeal nerve damage, which is a risk associated with thyroid surgery. Tingling around the mouth may suggest hypocalcemia, a common complication after thyroidectomy due to accidental removal or damage to the parathyroid glands. The moderate serosanguinous drainage on the neck dressing could signify bleeding or infection, which requires immediate attention. The noted tremor in both hands and the increase in temperature could be signs of a thyroid storm, a rare but life-threatening condition.

Furthermore, the client's restlessness could be a response to discomfort or could indicate a more serious issue, such as an impending thyrotoxic crisis. Oxygen saturation at 95% is within normal limits postoperatively; however, it should be monitored closely.

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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

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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