Podcast
Questions and Answers
Which of the following best describes the primary treatment goal for acute kidney injury (AKI)?
Which of the following best describes the primary treatment goal for acute kidney injury (AKI)?
- Administering high doses of diuretics to force urine production regardless of kidney function.
- Permanently restoring renal function to pre-injury levels.
- Focusing solely on managing metabolic acidosis without addressing renal function.
- Temporarily replacing renal function to minimize complications and prevent further kidney damage. (correct)
A patient's baseline serum creatinine is 1.0 mg/dL. According to the criteria for AKI, what serum creatinine level would indicate the presence of acute kidney injury?
A patient's baseline serum creatinine is 1.0 mg/dL. According to the criteria for AKI, what serum creatinine level would indicate the presence of acute kidney injury?
- 1.2 mg/dL
- 1.5 mg/dL (correct)
- 1.4 mg/dL
- 1.3 mg/dL
Which of the following is an example of a metabolic complication that can arise from acute kidney injury (AKI)?
Which of the following is an example of a metabolic complication that can arise from acute kidney injury (AKI)?
- Sudden weight gain due to muscle growth
- Metabolic acidosis (correct)
- Increased white blood cell count
- Decreased heart rate
Which urine output level is most indicative of oliguria, a potential sign of acute kidney injury?
Which urine output level is most indicative of oliguria, a potential sign of acute kidney injury?
A patient with AKI has a serum creatinine level of 2.8 mg/dL. Their baseline creatinine was 1.1 mg/dL. By what percentage has their serum creatinine increased?
A patient with AKI has a serum creatinine level of 2.8 mg/dL. Their baseline creatinine was 1.1 mg/dL. By what percentage has their serum creatinine increased?
In the context of AKI, why is it crucial to address electrolyte imbalances promptly?
In the context of AKI, why is it crucial to address electrolyte imbalances promptly?
A patient is diagnosed with AKI. Which intervention is most appropriate?
A patient is diagnosed with AKI. Which intervention is most appropriate?
What is the primary rationale for temporarily replacing renal function in patients with AKI?
What is the primary rationale for temporarily replacing renal function in patients with AKI?
A patient with AKI is experiencing metabolic acidosis. Which of the following blood gas results would you most likely expect to see?
A patient with AKI is experiencing metabolic acidosis. Which of the following blood gas results would you most likely expect to see?
Which of the following assessments is most critical in monitoring a patient at risk for AKI?
Which of the following assessments is most critical in monitoring a patient at risk for AKI?
Which laboratory value is a key indicator used to define and monitor the severity of AKI?
Which laboratory value is a key indicator used to define and monitor the severity of AKI?
A patient with AKI is prescribed a medication that is primarily excreted by the kidneys. What adjustment to the medication dosage might be necessary?
A patient with AKI is prescribed a medication that is primarily excreted by the kidneys. What adjustment to the medication dosage might be necessary?
Which of the following is the most accurate definition of Acute Kidney Injury (AKI)?
Which of the following is the most accurate definition of Acute Kidney Injury (AKI)?
A patient with AKI is being evaluated for fluid overload. Which of the following clinical signs would be most indicative of this condition?
A patient with AKI is being evaluated for fluid overload. Which of the following clinical signs would be most indicative of this condition?
Which of the following is the most important aspect of nutritional management in a patient with AKI?
Which of the following is the most important aspect of nutritional management in a patient with AKI?
What is the rationale behind monitoring daily weights in patients with acute kidney injury (AKI)?
What is the rationale behind monitoring daily weights in patients with acute kidney injury (AKI)?
A patient with AKI is experiencing hyperkalemia. Which of the following interventions would be most appropriate to address this electrolyte imbalance?
A patient with AKI is experiencing hyperkalemia. Which of the following interventions would be most appropriate to address this electrolyte imbalance?
Considering the goal of preserving long-term kidney function in AKI, what approach is most beneficial?
Considering the goal of preserving long-term kidney function in AKI, what approach is most beneficial?
A patient with AKI is ordered to receive a medication known to be nephrotoxic. What is the most appropriate action?
A patient with AKI is ordered to receive a medication known to be nephrotoxic. What is the most appropriate action?
Which of the following best describes the relationship between AKI and chronic kidney disease (CKD)?
Which of the following best describes the relationship between AKI and chronic kidney disease (CKD)?
A patient with AKI is experiencing nausea and vomiting. What dietary modification would be most appropriate?
A patient with AKI is experiencing nausea and vomiting. What dietary modification would be most appropriate?
What is the primary rationale for using loop diuretics in some patients with AKI who have fluid overload?
What is the primary rationale for using loop diuretics in some patients with AKI who have fluid overload?
Which of the following is a common cause of pre-renal AKI?
Which of the following is a common cause of pre-renal AKI?
A patient with AKI is having difficulty breathing and has crackles in their lungs. Which complication is most likely occurring?
A patient with AKI is having difficulty breathing and has crackles in their lungs. Which complication is most likely occurring?
Which of the following findings suggests that a patient with AKI may be developing a uremic complication?
Which of the following findings suggests that a patient with AKI may be developing a uremic complication?
A patient with AKI is receiving continuous renal replacement therapy (CRRT). What is a primary nursing consideration related to this treatment?
A patient with AKI is receiving continuous renal replacement therapy (CRRT). What is a primary nursing consideration related to this treatment?
In AKI, why is it important to avoid the use of NSAIDs?
In AKI, why is it important to avoid the use of NSAIDs?
What is the most appropriate initial intervention for a patient with AKI and a rapidly rising serum potassium level?
What is the most appropriate initial intervention for a patient with AKI and a rapidly rising serum potassium level?
Which of the following is an intrarenal cause of AKI?
Which of the following is an intrarenal cause of AKI?
In the management of AKI, what is the significance of calculating the 'Anion Gap'?
In the management of AKI, what is the significance of calculating the 'Anion Gap'?
Which of the following clinical scenarios is most indicative of post-renal AKI?
Which of the following clinical scenarios is most indicative of post-renal AKI?
What is the rationale for limiting phosphorus intake in patients with AKI?
What is the rationale for limiting phosphorus intake in patients with AKI?
Which of the following interventions would be most appropriate for a patient with AKI who is experiencing persistent metabolic acidosis?
Which of the following interventions would be most appropriate for a patient with AKI who is experiencing persistent metabolic acidosis?
A patient with AKI develops pericarditis. Which complication is most likely the cause?
A patient with AKI develops pericarditis. Which complication is most likely the cause?
In the context of AKI, what does the term 'fractional excretion of sodium (FeNa)' refer to?
In the context of AKI, what does the term 'fractional excretion of sodium (FeNa)' refer to?
Which nursing intervention is most important when caring for a patient with AKI receiving a protein-restricted diet?
Which nursing intervention is most important when caring for a patient with AKI receiving a protein-restricted diet?
Which of the following is the most serious consequence of untreated hyperkalemia in patients with AKI?
Which of the following is the most serious consequence of untreated hyperkalemia in patients with AKI?
Flashcards
Acute Kidney Injury (AKI)
Acute Kidney Injury (AKI)
Rapid decline in kidney function due to damage, leading to complications.
Metabolic Complications of AKI
Metabolic Complications of AKI
Metabolic acidosis, electrolyte imbalances, and fluid imbalances that arise from AKI.
Treatment Goal for AKI
Treatment Goal for AKI
The primary aim is to support kidney function temporarily and prevent further damage.
AKI diagnostic criteria
AKI diagnostic criteria
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Oliguria
Oliguria
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Study Notes
- Acute Kidney Injury (AKI) involves a rapid decline in renal function due to kidney damage, posing life-threatening risks.
- AKI can trigger metabolic acidosis, as well as fluid and electrolyte imbalances.
- The primary goal in treating AKI is to offer temporary renal support. This minimizes complications, prevents additional kidney damage, and preserves long-term kidney function.
- AKI is indicated by a serum creatinine increase of 50% or more from baseline, or urine production of <0.5 mL/kg/hour for over 6 hours.
- Normal creatinine clearance is typically around 800 mL/day
- A key sign of AKI is oliguria, or low urine output.
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