A nurse is caring for a client who has acute kidney injury (AKI). The nurse should expect which of the following findings in the client's medical record? (Select all that apply.)

Increased BUN

Decreased glomerular filtration rate (GFR)

Decreased creatinine

Decreased urine output

Answer and Explanation

Correct Answer : A,B,D

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

No explanation

A. A client who is taking gentamicin for infection B. A client who has heart failure C. A client who is 1 day postoperative following a colon resection D. A client who has pneumonia

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

Explanation

A.Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.

B.Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.

C.Postoperative clients may have hypovolemia, hypotension, or sepsis, all of which are common triggers of AKI. Surgery-related stress and anesthesia may also decrease renal perfusion.

D.Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.

E. Systemic lupus erythematosus (SLE) can cause lupus nephritis, an intrarenal cause of AKI. An exacerbation increases this risk due to inflammation or immune complex deposition in the kidneys.

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A nurse is caring for a client who has acute kidney injury (AKI). The nurse should expect which of the following findings in the client's medical record? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An LPN is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply

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

A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

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

Explanation

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