A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?
Hemoglobin 16 g/dL
BUN 15 mg/dL
Serum potassium 4.5 mEq/L
Serum creatinine 6 mg/dL
The Correct Answer is D
Choice A reason: A hemoglobin level of 16 g/dL is within the normal range and does not indicate acute kidney injury.
Choice B reason: A BUN level of 15 mg/dL is also within the normal range and does not suggest acute kidney injury.
Choice C reason: A serum potassium level of 4.5 mEq/L is within the normal range and is not indicative of acute kidney injury.
Choice D reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A reason: Muscle spasms are not typically associated with aluminum hydroxide use.
Choice B reason: Constipation is a common adverse effect of aluminum hydroxide, especially when used as a
phosphate binder in clients with renal failure.
Choice C reason: Headaches are not commonly reported as an adverse effect of aluminum hydroxide.
Choice D reason: A metallic taste is not a common adverse effect associated with aluminum hydroxide.
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