During the diuresis period of acute kidney injury (AKI), the nurse should observe the client closely for which complication?
Renal calculi
Hypokalemia
Dehydration
Oliguria
The Correct Answer is C
A. Renal calculi are not a typical complication during the diuretic phase of AKI.
B. Hypokalemia can occur but is not as immediately critical as dehydration during this phase.
C. Dehydration is a key risk during the diuretic phase because the kidneys begin excreting large amounts of urine before full recovery of kidney function, leading to significant fluid loss.
D. Oliguria occurs in the earlier (oliguric) phase, not the diuretic phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypercalcemia is not typically associated with prerenal AKI; calcium levels may be normal or low.
B. Hyperkalemia is common in AKI due to impaired renal excretion of potassium, especially in prerenal cases where perfusion is decreased.
C. Hypernatremia is less common; more often, dilutional hyponatremia may occur if fluid shifts are present.
D. Hypophosphatemia is not typical; phosphate levels tend to rise in AKI due to decreased excretion.
Correct Answer is B
Explanation
A. Polycystic disease is an intrinsic (renal) disorder affecting kidney tissue directly, not a prerenal cause.
B. Anaphylactic shock causes severe hypotension, reducing renal perfusion, making it a prerenal cause of acute kidney injury.
C. Ureteral stricture is a postrenal condition, causing obstruction to urine flow.
D. Kidney stone is also a postrenal cause due to urinary tract obstruction.
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