Podcast
Questions and Answers
Which of the following best describes the primary goal of treatment for Acute Kidney Injury (AKI)?
Which of the following best describes the primary goal of treatment for Acute Kidney Injury (AKI)?
- To completely restore renal function to its pre-injury state immediately.
- To prioritize increasing urine output to normal levels as quickly as possible.
- To focus solely on managing metabolic complications such as metabolic acidosis.
- To temporarily replace renal function, minimize complications, reduce further kidney injury, and preserve long-term kidney function. (correct)
A patient with AKI exhibits a rapid increase in serum creatinine. According to the criteria for AKI, what percentage increase from baseline is typically indicative of AKI?
A patient with AKI exhibits a rapid increase in serum creatinine. According to the criteria for AKI, what percentage increase from baseline is typically indicative of AKI?
- 20% or greater
- 30% or greater
- 40% or greater
- 50% or greater (correct)
A patient’s urine output has decreased significantly over the past 24 hours. Which of the following levels of urine output would be classified as oliguria?
A patient’s urine output has decreased significantly over the past 24 hours. Which of the following levels of urine output would be classified as oliguria?
- Between 500-700 mL/day
- Less than 400 mL/day (correct)
- Greater than 800 mL/day
- Approximately 1500 mL/day
Which of the following metabolic complications is commonly associated with Acute Kidney Injury (AKI)?
Which of the following metabolic complications is commonly associated with Acute Kidney Injury (AKI)?
A patient presents with AKI. Their baseline serum creatinine was 1.0 mg/dL. Which of the following serum creatinine levels would meet the criteria for AKI?
A patient presents with AKI. Their baseline serum creatinine was 1.0 mg/dL. Which of the following serum creatinine levels would meet the criteria for AKI?
Which of the following is the most direct consequence of the rapid loss of renal function in AKI?
Which of the following is the most direct consequence of the rapid loss of renal function in AKI?
In the context of AKI, what is the significance of monitoring a patient's fluid balance and electrolyte levels?
In the context of AKI, what is the significance of monitoring a patient's fluid balance and electrolyte levels?
Consider a patient with AKI experiencing metabolic acidosis. Which blood pH level would be most consistent with this condition?
Consider a patient with AKI experiencing metabolic acidosis. Which blood pH level would be most consistent with this condition?
Which patient is at the highest risk of developing AKI?
Which patient is at the highest risk of developing AKI?
If a patient with AKI has a urine output of 300 mL in 24 hours, what intervention is most likely to be considered?
If a patient with AKI has a urine output of 300 mL in 24 hours, what intervention is most likely to be considered?
A patient develops AKI after receiving a nephrotoxic medication. What is the first step in managing this AKI?
A patient develops AKI after receiving a nephrotoxic medication. What is the first step in managing this AKI?
Which statement best reflects the reversibility of AKI?
Which statement best reflects the reversibility of AKI?
A patient with AKI has a serum potassium level of 6.5 mEq/L. Which complication is the patient most at risk for?
A patient with AKI has a serum potassium level of 6.5 mEq/L. Which complication is the patient most at risk for?
A patient with AKI requires careful adjustment of medication dosages. Which factor primarily influences these adjustments?
A patient with AKI requires careful adjustment of medication dosages. Which factor primarily influences these adjustments?
If a patient with AKI is prescribed a fluid restriction, which intervention is most important for the nurse to implement?
If a patient with AKI is prescribed a fluid restriction, which intervention is most important for the nurse to implement?
Which intervention is least helpful in preventing AKI in a patient receiving IV contrast dye for a CT scan?
Which intervention is least helpful in preventing AKI in a patient receiving IV contrast dye for a CT scan?
What is the primary reason for carefully monitoring electrolyte levels in patients with AKI?
What is the primary reason for carefully monitoring electrolyte levels in patients with AKI?
In the management of AKI, what benefit does renal replacement therapy (RRT) provide?
In the management of AKI, what benefit does renal replacement therapy (RRT) provide?
Following an episode of AKI, what long-term follow-up is most critical for the patient?
Following an episode of AKI, what long-term follow-up is most critical for the patient?
A patient with AKI is prescribed a medication that is primarily excreted by the kidneys. What is the most important consideration when administering this medication?
A patient with AKI is prescribed a medication that is primarily excreted by the kidneys. What is the most important consideration when administering this medication?
In patients with AKI, which intervention is most likely to help prevent further kidney injury?
In patients with AKI, which intervention is most likely to help prevent further kidney injury?
A patient with AKI reports muscle weakness and cramping. Which electrolyte imbalance is most likely contributing to these symptoms?
A patient with AKI reports muscle weakness and cramping. Which electrolyte imbalance is most likely contributing to these symptoms?
A patient with AKI is at risk for developing metabolic acidosis. Which of the following findings would support this diagnosis?
A patient with AKI is at risk for developing metabolic acidosis. Which of the following findings would support this diagnosis?
A nurse is caring for a patient with AKI. Which assessment finding requires immediate intervention?
A nurse is caring for a patient with AKI. Which assessment finding requires immediate intervention?
A patient with AKI is scheduled for a diagnostic procedure requiring contrast dye. What measure should the healthcare provider prioritize to protect the patient’s kidneys?
A patient with AKI is scheduled for a diagnostic procedure requiring contrast dye. What measure should the healthcare provider prioritize to protect the patient’s kidneys?
Which dietary modification is most appropriate for a patient with AKI who is not on dialysis?
Which dietary modification is most appropriate for a patient with AKI who is not on dialysis?
What is the primary rationale for limiting phosphorus intake in patients with AKI?
What is the primary rationale for limiting phosphorus intake in patients with AKI?
A patient with AKI is experiencing pulmonary edema. Which of the following interventions is most appropriate?
A patient with AKI is experiencing pulmonary edema. Which of the following interventions is most appropriate?
A patient with AKI is being treated with continuous renal replacement therapy (CRRT). What is a major advantage of CRRT compared to intermittent hemodialysis?
A patient with AKI is being treated with continuous renal replacement therapy (CRRT). What is a major advantage of CRRT compared to intermittent hemodialysis?
A patient with AKI is on mechanical ventilation. Which of the following ventilator settings should be carefully monitored to prevent further kidney injury?
A patient with AKI is on mechanical ventilation. Which of the following ventilator settings should be carefully monitored to prevent further kidney injury?
A patient with AKI has a central venous catheter in place. Which nursing intervention is most important to prevent infection?
A patient with AKI has a central venous catheter in place. Which nursing intervention is most important to prevent infection?
A patient with AKI is receiving nutritional support. Which of the following parameters is most important to monitor to assess the adequacy of protein intake?
A patient with AKI is receiving nutritional support. Which of the following parameters is most important to monitor to assess the adequacy of protein intake?
Following an episode of AKI, a patient is being discharged home. Which education point is most important for the nurse to emphasize?
Following an episode of AKI, a patient is being discharged home. Which education point is most important for the nurse to emphasize?
A patient with AKI develops anemia. Which intervention is most appropriate to manage this complication?
A patient with AKI develops anemia. Which intervention is most appropriate to manage this complication?
A patient with AKI is experiencing severe hyperkalemia refractory to medical management. Which intervention is most likely to be considered?
A patient with AKI is experiencing severe hyperkalemia refractory to medical management. Which intervention is most likely to be considered?
A patient with AKI is being evaluated for potential kidney biopsy. What is the most important nursing action prior to the procedure?
A patient with AKI is being evaluated for potential kidney biopsy. What is the most important nursing action prior to the procedure?
A patient with AKI is receiving total parenteral nutrition (TPN). Which complication should the nurse monitor for most closely?
A patient with AKI is receiving total parenteral nutrition (TPN). Which complication should the nurse monitor for most closely?
A patient with AKI develops peripheral edema. Which nursing intervention is most appropriate to relieve this symptom?
A patient with AKI develops peripheral edema. Which nursing intervention is most appropriate to relieve this symptom?
Flashcards
Acute Kidney Injury (AKI)
Acute Kidney Injury (AKI)
Rapid decline in kidney function due to kidney damage, potentially causing life-threatening complications.
AKI Metabolic Complications
AKI Metabolic Complications
Metabolic acidosis, and electrolyte imbalances are examples.
AKI Treatment Goal
AKI Treatment Goal
To temporarily replace renal function, reduce further kidney injury, and preserve long-term kidney function.
AKI Criteria
AKI Criteria
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Oliguria
Oliguria
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Study Notes
- Acute Kidney Injury (AKI) is a rapid loss of kidney function due to kidney damage, potentially leading to life-threatening issues.
- AKI can cause metabolic acidosis, fluid imbalances, and electrolyte disturbances.
- Treatment aims to temporarily replace kidney function, reduce complications, prevent further kidney damage, and preserve long-term kidney function.
- AKI is indicated by a 50% or greater increase in serum creatinine from baseline.
- Normal creatinine is 800 mL/day
- AKI can lead to oliguria.
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