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Which teaching point would the nurse include when providing education for a patient with chronic
kidney disease (CKD)?
"All patients with CKD eventually need renal replacement therapy."
"CKD can occur suddenly over hours to days."
"Acute kidney injury can occur in patients with CKD."
"End-stage kidney disease has no impact on length of life."
"Acute kidney injury can occur in patients with CKD."
Which finding would be consistent with stage 3 acute kidney injury (AKI)?
Select all that apply. One, some, or all responses may be correct.
Serum creatinine 2 to 2.9 times baseline
Initiation of renal replacement therapy
Urine output <0.5 mL/kg/hr for 6 to 12 hr
Increase in serum creatinine to ≥4.0 mg/dL
Patients <18 years old: Decrease in eGFR to <35 mL/min/1.73 m2
Initiation of renal replacement therapy
,Increase in serum creatinine to ≥4.0 mg/dL
Patients <18 years old: Decrease in eGFR to <35 mL/min/1.73 m2
Which lab value is accepted as the best overall indicator of kidney function?
Glomerular filtration rate (GFR)
Blood urea nitrogen (BUN)
Insulin-like growth factor binding protein 7 (IGFBP-7)
Tissue injury metalloproteinase 2 (TIMP-2)
Glomerular filtration rate (GFR)
Which condition can cause prerenal acute kidney injury (AKI)?
Contrast dye exposure
Septic shock
Prostate cancer
Lupus
Septic Shock
Which medication or substance is considered nephrotoxic?
Select all that apply. One, some, or all responses may be correct.
Naproxen
Ceftriaxone
Vancomycin
,Metformin
Ethylene glycol
Naproxen
Vancomycin
Metformin
Ethylene glycol
Which patient has the highest risk of developing complications from acute kidney injury (AKI)?
a)Sustaining a fracture of the tibia
b)Being NPO before surgery
c)Receiving antihypertensive medications
d)Admitted for treatment of chronic obstructive pulmonary disease (COPD)
b)Being NPO before surgery
•Which laboratory value is typically identified among patients with acute kidney injury (AKI)?
•Select all that apply. One, some, or all responses may be correct.
•Increased serum phosphorus
•Increased arterial blood pH
•Increased serum creatinine
•Decreased serum potassium
•Decreased blood osmolality
•Increased serum phosphorus
•Increased serum creatinine
, Which interventions should the nurse prioritize for a patient experiencing acute renal failure? (Select all
that apply)
•A. Administering ordered diuretics
•B. Monitoring electrolytes and kidney function tests
•C. Encouraging increased fluid intake
•D. Educating the patient about dialysis options
•A. Administering ordered diuretics
•B. Monitoring electrolytes and kidney function tests
•D. Educating the patient about dialysis options
A 4-month-old infant has not been feeling well for 2 days. Which number on the image identifies the
area of the infant's head where the nurse can assess for dehydration?
A. 1
B. 2
C. 3
D. 4
E. 5
C: 3
To obtain more information about the client's current status, which questions are a priority for the
nurse to ask family?
(Select all that apply. One, some, or all options may be correct.)
A. "Do you have any other children?" B. "Have you offered fluids other than formula?"
C. "What was the client's last weight?"