Questions: AKI & CKD with correct answers

Intrarenal causes of acute kidney injury - Answer Nephrotoxic drugs Acute glomerulonephritis Tubular obstruction by myoglobin An 83-year-old female patient was found lying on the bathroom floor. She said she fell 2 days ago and has not been able to take her heart medicine or eat or drink anything since then. What conditions could be causing prerenal AKI in this patient - Answer Hypovolemia Decreased cardiac output Acute tubular necrosis is the most common intrarenal AKI. Which patient is most likely to develop ATN? - Answer Patient with major surgery who required a blood transfusion A dehydrated patient is in the Injury stage of RIFLE stating of AKI. What would the nurse first anticipate in the treatment of this patient? - Answer IV administration of fluid and Furosemide (Lasix) What indicates to the nurse that a patient with oliguria has prerenal oliguria? - Answer Reversal of oliguria occurs with fluid replacement In a patient with AKI, which laboratory urinalysis result indicates tubular damage? - Answer Specific gravity fixed at 1.010 Metabolic acidosis occurs in the oliguria phase of AKI as a result of impairment of: - Answer Ammonia synthesis What indicates to the nurse that a patient with AKI is in the recovery phase? - Answer Decreasing BUN and Creatinine levels