A nurse in the med-surgical ICU is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

Hyperkalemia.

Increased glomerular filtration rate (GFR).

Decreased creatinine level.

Hypovolemia.

Answer and Explanation

The Correct Answer is A

Choice A reason: Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to reduced excretion of potassium by the kidneys. This electrolyte imbalance can have serious cardiac effects and should be expected and monitored in these patients.

Choice B reason: An increased glomerular filtration rate (GFR) would not be expected in the oliguric phase of acute kidney injury. Typically, GFR is decreased due to reduced kidney function during this phase.

Choice C reason: Decreased creatinine levels are not expected in acute kidney injury. Creatinine levels usually increase as kidney function declines and the body cannot adequately filter waste.

Choice D reason: Hypovolemia is not typically expected in the oliguric phase of acute kidney injury, as oliguria (reduced urine output) often indicates fluid retention rather than fluid loss.

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Correct Answer is ["A","B","C"]

Explanation

Choice A reason: LPNs can reinforce teaching that has already been provided by an RN. They can help clarify and reinforce the diabetic diet plan to the client.

Choice B reason: Routine dressing changes are within the scope of practice for LPNs. They can provide this care effectively.

Choice C reason: LPNs are qualified to administer intravenous medications. This is within their scope of practice and ensures that clients receive their medications timely.

Choice D reason: Providing a bath is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

Choice E reason: Assisting with ambulation is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

A. Blood urea nitrogen B. Hematocrit C. Brain natriuretic peptide (BNP) D. Hemoglobin

Correct Answer is C

Explanation

Choice A reason: Blood urea nitrogen (BUN) levels are used to assess kidney function and are not specific to heart failure.

Choice B reason: Hematocrit levels indicate the proportion of red blood cells in the blood and are not specific to heart failure. They are used to assess anemia and other blood disorders.

Choice C reason: Brain natriuretic peptide (BNP) levels are elevated in heart failure. BNP is released by the ventricles in response to increased pressure and volume overload. Monitoring BNP levels helps assess the severity of heart failure and the effectiveness of treatment.

Choice D reason: Hemoglobin levels indicate the oxygen-carrying capacity of the blood and are used to assess anemia but are not specific to heart failure.

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A nurse in the med-surgical ICU is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

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