The nurse suspects that a patient who underwent esophageal surgery has a misplaced jejunostomy feeding tube. Which action would the nurse take?

Choice A reason: Increased glomerular filtration rate (GFR) would indicate improved kidney function, which is not expected in the oliguric phase of acute kidney injury. Instead, GFR is typically reduced during this phase.
Choice B reason: Decreased creatinine level suggests better kidney function and is not consistent with acute kidney injury, where creatinine levels are usually elevated due to impaired filtration.
Choice C reason: Hypomagnesemia, or low magnesium levels, is not a typical finding in acute kidney injury. Electrolyte imbalances more commonly include elevated levels of potassium and phosphorus.
Choice D reason: Hyperkalemia, or elevated potassium levels, is a common finding in the oliguric phase of acute kidney injury due to the kidneys' inability to excrete potassium effectively. This can lead to serious complications such as cardiac arrhythmias.

Choice A reason: Impaired skin integrity is a significant risk due to the constant exposure of the skin around the stoma to urine, which can lead to irritation and breakdown. Proper skin care and stoma care are essential to prevent complications.
Choice B reason: Disturbed body image is also a risk as the client adjusts to the physical changes and the presence of a stoma, which can impact self-esteem and body perception.
Choice C reason: Fluid volume deficit can occur if the client does not maintain adequate fluid intake or if there is significant leakage from the stoma. Monitoring fluid balance is crucial.
Choice D reason: Anxiety is common as clients adapt to managing a new ostomy, worrying about potential complications, and coping with changes in body function.
Choice E reason: Infection is a risk due to the exposure of the stoma and surrounding skin to bacteria from the urine. Proper hygiene and care are vital to prevent infections.