A nurse is monitoring a client who has acute kidney injury (AKI). Which of the following laboratory findings should the nurse expect?
Elevated BUN
Hypercalcemia
Metabolic alkalosis
Hypokalemia
The Correct Answer is A
Choice A reason: In acute kidney injury (AKI), the blood urea nitrogen (BUN) level is expected to be elevated due to the kidneys' impaired ability to excrete urea, which is a waste product of protein metabolism. Normal BUN levels range from approximately 7 to 20 mg/dL.
Choice B reason: Hypercalcemia is not commonly associated with AKI. Instead, patients with AKI may experience hypocalcemia due to the kidneys' reduced ability to convert vitamin D to its active form, which is necessary for calcium absorption.
Choice C reason: Metabolic alkalosis is not a typical finding in AKI. More commonly, patients with AKI experience metabolic acidosis because the kidneys are unable to excrete acid effectively, leading to an accumulation of acid in the body.
Choice D reason: Hypokalemia is generally not expected in AKI. The condition is more often associated with hyperkalemia, as the impaired kidney function leads to a reduced excretion of potassium, which can accumulate to dangerous levels.
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Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Driving restrictions are not typically necessary for clients on hemodialysis unless there are other underlying conditions affecting their ability to drive safely.
Choice B reason: Clients on hemodialysis need to restrict foods high in potassium, sodium, and phosphorus to manage their electrolyte levels and prevent complications.
Choice C reason: Airplane travel is not generally restricted for hemodialysis clients, but they may need to arrange for dialysis at their destination.
Choice D reason: Time constraints are a significant factor as hemodialysis requires several hours per session, multiple times a week.
Choice E reason: Fluid intake often needs to be restricted in clients on hemodialysis to prevent fluid overload, as the kidneys are not able to remove excess fluid effectively.
Choice F reason: Limiting social activities is not a necessary restriction unless it is related to the client's overall health status.
Correct Answer is B
Explanation
Choice A reason: Hyperkalemia refers to high potassium levels, which may not directly cause shortness of breath and swelling.
Choice B reason: Hypervolemia, or fluid overload, is likely the cause of the client's symptoms, including shortness of breath, swelling, crackles in the lungs, and elevated blood pressure.
Choice C reason: Hypovolemia, or fluid deficit, would not typically present with swelling and crackles in the lungs.
Choice D reason: Hyponatremia refers to low sodium levels, which may not directly cause the symptoms described.
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