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WorksheetsAcute Kidney Injury
Total questions: 12
Worksheet time: 9mins
The most accurate indicator of fluid loss or gain in an acutely ill patient is weight?
True
False
A nurse is planning care for a client who has prerenal acute kidney injury (AKI) following abdominal aortic aneurysm repair. Urinary output is 60 mL in the past 2 hr, and blood pressure is 92/58 mm Hg. The nurse should expect which of the following interventions?
Prepare the client for a CT scan with contrast dye.
Plan to administer nitroprusside.
Prepare to administer a fluid challenge.
Plan to position the client in Trendelenburg.
A nurse is planning care for a client who has postrenal AKI due to metastatic cancer. The client has a blood creatinine of 5 mg/dL. Which of the following interventions should the nurse include in the plan? (Select all that apply.)
Provide a high‑protein diet.
Assess the urine for blood.
Monitor for intermittent anuria.
Weight the client once per week.
Provide NSAIDs for pain.
A nurse is assessing a client who has prerenal AKI. Which of the following findings should the nurse expect? (Select all that apply.)
Reduced BUN
Elevated cardiac enzymes
Reduced urine output
Elevated blood creatinine
Elevated blood calcium
The nurse recognizes that which of the following could lead to a prerenal AKI. Select all that apply
AAA rupture
Renal Cell Carcinoma
Kidney stone
Myocardial infarction
Bladder Cancer
The nurse is providing education on AKIs. Which of the following responses would indicate a need for additional teaching?
"An acute kidney injury is a rapid loss of renal function due to damage to the kidneys.”
"AKIs can have prerenal, intrarenal, and postrenal causes"
“An acute kidney injury is damage in the glomerular filtration rate lasting for 3 or more months.”
"The four phases of an AKI include initiation, oliguria, diuresis, and recovery."
The nurses recognizes that which of the following electrolyte imbalances associated with an AKI is the most serious?
hyperphosphatemia
Hyperkalemia
Hypocalcemia
Hypernatremia
Calcium acetate is used to treat which of the following?
Hyperkalemia
Hyponatermia
Hyperphosphatemia
Hypocalcemia
What is the desired outcome of administering polystyrene sulfonate?
An increased appetite
An increase in the potassium level
A decrease in the potassium level
Reversal of AKI
Which phase of an AKI results in a gradual increase in urine output?
Initiation
Oliguria
Diuresis
Recovery
A nurse is caring for a client with an AKI. Which of the following lab values would be expected? Select all that apply.
An increase in the serum creatinine
An increase in the glomerular filtration rate.
A decrease in the blood urea nitrogen level.
An increase in the blood urea nitrogen level.
An increase in the urine specific gravity.
A nurse is teaching about diet restrictions to a client who has acute kidney injury and is on hemodialysis. Which of the following recommendations should the nurse include in the teaching? A.
Limit sodium intake to 4.5 g/day.
Limit calcium intake to 2,500 mg/day.
Decrease total fat intake to 45% of daily calories.
Decrease potassium intake to 60 to 70 mEq/kg.
