Concept Of Elimination: Acute Kidney Injury

12 Questions | Total Attempts: 428

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Concept Of Elimination: Acute Kidney Injury - Quiz


Questions and Answers
  • 1. 
    A patient presents with thirst, dry skin, and decreased urine output. What diagnosis would you suspect?
    • A. 

      Fluid Volume Deficit

    • B. 

      Fluid Volume Excess

    • C. 

      Hyperkalemia

    • D. 

      Hypocalcemia

  • 2. 
    A patient presents with thirst, dry skin, and decreased urine output. What diagnosis would you suspect?
    • A. 

      Fluid Volume Deficit

    • B. 

      Fluid Volume Excess

    • C. 

      Hyperkalemia

    • D. 

      Hypocalcemia

  • 3. 
    Which is the major extracellular ion?
    • A. 

      Sodium

    • B. 

      Potassium

    • C. 

      Magnesium

    • D. 

      Phosphate

  • 4. 
    Which electrolyte is the major intracellular ion?
    • A. 

      Sodium

    • B. 

      Potassium

    • C. 

      Calcium

    • D. 

      Magnesium

  • 5. 
    Vomiting, Diarrhea, prolonged NG suction, diurectics, kidney disease, renal, liver, and heart failure, and SIADH are causes of which electrolyte deficiency?
    • A. 

      Hypocalcemia

    • B. 

      Hypermagnesmia

    • C. 

      Hyponatremia

    • D. 

      Hypokalemia

  • 6. 
    The student nurse understands that intrarenal causes of Acute Kidney Injury (AKI) include all of the following. Select all that apply.
    • A. 

      Anaphylaxis

    • B. 

      Renal Stones

    • C. 

      Bladder Cancer

    • D. 

      Acute Glomerulonephritis

    • E. 

      Tubular obstruction by myoglobin

    • F. 

      Prolonged ischemia

    • G. 

      Nephrotoxic drugs

  • 7. 
    A home health nurse finds a 89 year old patient with a history of cardiovascular disease lying on the living room floor, stating that she had fallen 2 days ago and was not able to get help or move from the spot she fell.  What conditions could cause prerenal AKI in this patient?
    • A. 

      Anaphylaxis

    • B. 

      Renal calculi

    • C. 

      Hypovolemia

    • D. 

      Nephrotoxic drugs

    • E. 

      Decrease cardiac output

  • 8. 
    The nurse is taking care of a patient in the oliguric phase of AKI who has developed Metabolic Acidosis. The nurse understands this complication is a result of the impairment of which of the following?
    • A. 

      Excretion of Acid products

    • B. 

      Excretion of sodium

    • C. 

      Excretion of bicarbonate

    • D. 

      Conservation of potassium

  • 9. 
    The nurse is taking care of a patient with AKI in the oliguric phase and is monitoring the patient for complications. The nurse will notify the health care provider for which complication?
    • A. 

      Urine output change from 400ml/day to 300ml/day in last 48 hrs.

    • B. 

      Edema of the lower extremities and sacral area

    • C. 

      Depressed T waves and elevated ST segment on Cardiac Strip

    • D. 

      Marked increasing muscle weakness and severe abdominal cramping.

  • 10. 
    The nurse is taking care of a patient on a medical oncology unit. Lab results show a potassium level of 6.5 mEq/L. The nurse understands that the priority action is to [Blank].
  • 11. 
    The nurse is taking care of a 72 year old patient with a history of heart failure, recently diagnosed with acute kidney injury (AKI) as a result of nephrotoxic diuretics. Currently his labs show: Potassium 6.2 mEq/L with peaked T waves, BUN 128mg/dL, SrCreatinine 4.9mg/dL, HCO3 14mEq/L. His also somnolent and disoriented.  The nurse can expect which order to be the most appropriate for this patient?
    • A. 

      Furosemide (Lasix) 80 mg IV twice a day.

    • B. 

      Renal Replacement Therapy

    • C. 

      IV insulin and sodium bicarbonate

    • D. 

      Sodium polystyrene sulfonate (Kayexalate)

  • 12. 
    Which of the following is not a function of water?
    • A. 

      Transportation of nutrients, electrolytes, and oxygen to the cells

    • B. 

      Excretion of waste products

    • C. 

      Regulation of body temp

    • D. 

      Cell macrophaging

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