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

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A reason: Hyperkalemia is not typically associated with corticosteroid therapy. Corticosteroids can lead to increased excretion of potassium, not retention.

Choice B reason: Hypokalemia is a common side effect of corticosteroid therapy due to increased excretion of potassium in the urine.

Choice C reason: Hypomagnesemia is not commonly associated with corticosteroid therapy.

Choice D reason: Hypermagnesemia is not typically induced by corticosteroid therapy.

A. Providing surgical site or wound care B. Managing postoperative pain C. Assisting with early ambulation D. Monitoring urinary function

Correct Answer is D

Explanation

Choice A reason: The nurse is not providing surgical site or wound care by documenting urination.

Choice B reason: Managing postoperative pain is not directly related to monitoring the client's ability to urinate.

Choice C reason: Assisting with early ambulation does not pertain to the urinary function directly.

Choice D reason: Monitoring urinary function is part of postoperative care, especially after removal of a Foley catheter, to ensure the client is able to void normally.

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A nurse is monitoring a client who has acute kidney injury (AKI). Which of the following laboratory findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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