A nurse is educating a patient who has acute kidney injury about the oliguric phase. What information should the nurse include in the teaching?
“The glomerular filtration rate (GFR) recovers.”.
“Urine output is less than 400 mL per 24 hr.”.
“Renal function is reestablished.”.
“BUN and creatinine levels decrease.”.
The Correct Answer is B
Choice A rationale
The glomerular filtration rate (GFR) does not recover during the oliguric phase of acute kidney injury (AKI). Recovery of GFR typically occurs during the recovery phase.
Choice B rationale
During the oliguric phase of AKI, urine output is typically less than 400 mL per 24 hours.
Choice C rationale
Renal function is not reestablished during the oliguric phase of AKI. This typically occurs during the recovery phase.
Choice D rationale
Blood urea nitrogen (BUN) and creatinine levels do not decrease during the oliguric phase of AKI. These levels typically increase due to decreased kidney function.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Constipation is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice B rationale
Weight gain of 5 lb in 1 month could be a side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice C rationale
Insomnia is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.
Choice D rationale
Muscle stiffness could be a sign of a serious side effect of aripiprazole known as extrapyramidal symptoms. This could include conditions such as dystonia, akathisia, and Parkinsonism. If a patient experiences muscle stiffness while taking aripiprazole, the healthcare provider should be notified.
Correct Answer is D
Explanation
Choice A rationale
Glucocorticoid medications are not typically used in the treatment of diabetic ketoacidosis (DKA). These medications can actually increase blood glucose levels, which would not be beneficial in a situation where blood glucose is already significantly elevated.
Choice B rationale
Dextrose 5% in 0.45% sodium chloride is not typically used in the initial treatment of DKA. This solution contains glucose, which would add to the already high blood glucose levels in DKA5.
Choice C rationale
Oral hypoglycemic medications are not typically used in the treatment of DKA. These medications are generally used in the management of type 2 diabetes. In DKA, which is more common in type 1 diabetes, insulin is usually required to lower blood glucose levels.
Choice D rationale
A 0.9% sodium chloride IV bolus is often part of the initial treatment for DKA. This helps to replace the fluid lost through excessive urination, a common symptom of DKA5.
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