Care: Acute Renal Failure Questions With
Complete Solutions
A nurse is receiving reports on 6 clients. Review the reports and identify which clients must be closely monitored for acute kidney injury. Select all that apply. correct answer: **ALL options are correct
There are three types of acute kidney injury (AKI): prerenal, intrarenal, and postrenal. Match the incident to the cause of AKI. correct answer: Prerenal:
-Client with severe hypotension
-Client with renal artery stenosis
Intrerenal:
-Client with excessive use of Ibuprofen
-Client overdoses on a nephrotoxic medication
Postrenal:
-Client with benign prostatic hypertrophy
-Client with stones in the ureter
The nurse is caring for a client with acute kidney injury. The provider prescribes continuous renal replacement therapy (CRRT). What is the most common indication for using CRRT? correct answer: cardiogenic shock What are intrarenal causes of acute kidney injury (AKI)? correct
answer: -acute glomerulonephritis
-contrast medium
-chronic overuse of ibuprofen
-lacerated kidney
The nurse frequently cares for clients at risk for acute renal failure. Which diagnostic studies are used to stage acute kidney injury (AKI)? correct answer: serum creatinine and urine output
Identifying abnormal kidney-related laboratory values is essential to the early recognition and management of acute kidney injury. Match the lab testing with normal results. correct answer: Urine Specific Gravity - 0.010-0.030
BUN 10-20 mg/dL
Bicarbonate 22-26
Calcium 9-10.5 mg/dL
GFR 90-120 mL/min
BUN 12:1 - 20:1
The nurse is caring for a client in the oliguric phase of acute kidney injury (AKI). Select the assessment findings the nurse anticipates. correct answer: -distended neck veins
-bounding pulses
-crackles in lung fields
-peaked T waves
An 80-year-old female was found lying on the bathroom floor by her daughter. The patient states she fell two days ago. The client is determined to be in the injury stage of acute kidney injury (AKI) due to dehydration. What prescriptions does the