Concept Of Elimination: Acute Kidney Injury
- 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
![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]. - ProProfs](https://media.proprofs.com/images/QM/user_images/2375512/5563023792.png "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].")
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