16- Acute kidney Injury
IntraRenal- Conditions that produce acute kidney injury by directly acting on functioning kidney tissue are classified as intrarenal. What is the most common intrarenal condition that produces such a kidney injury?
✓ Acute tubular necrosis (ATN).
The nurse is caring for a patient who has a temporary percutaneous dialysis catheter in place. In caring for this patient, the nurse should take what action?
✓ Assess the catheter site for redness and/or swelling.
PreRenal- The nurse caring for a patient who has undergone major abdominal surgery notices that the patient's urine output has been less than 20 mL/hour for the past 2 hours. At 0200 in the morning the patient's blood pressure is 100/60 mm Hg, and the pulse is 110 beats per minute. Previously, the pulse was 90 beats per minute with a blood pressure of 120/80 mm Hg. The nurse should take what action?
✓ Contact the primary health care provider and expect an order for a normal saline bolus.
The patient is in the critical care unit and will receive dialysis this morning. The nurse will take which actions: (Select all that apply.) "3"
✓ Evaluate morning laboratory results and report abnormal results. ✓ Assess the dialysis access site and report abnormalities. ✓ Weigh the patient to monitor fluid status.
The patient has a temporary percutaneous catheter in place for treatment of acute kidney injury. The catheter has been in place for 5 days. What action should the nurse take?
✓ Evaluate the patient for signs and symptoms of infection.
Complications common to patients receiving hemodialysis for acute kidney injury include which of the following? (Select all that apply.) "2"
✓ Hypotension ✓ Dysrhythmias
The patient reporting severe flank pain when urinating. has a urinalysis that shows sediment and crystals along with a few bacteria. This information suggestions what about the nature of the condition?
✓ It is postrenal.
The patient's potassium level is 7.0 mEq/L. Besides dialysis, which of the following actually reduces plasma potassium levels and total body potassium content safely in a patient with renal dysfunction?
✓ Kayexalate
PostRenal- What event triggers acute kidney injury from post renal etiology?
✓ Obstruction of the flow of urine.
Which of the following patients is at the greatest risk of developing acute kidney injury?
✓ One discharged 2 weeks earlier after aminoglycoside therapy of 2 weeks.
How does continuous renal replacement therapy (CRRT) differ from conventional intermittent hemodialysis?
✓ The process removes solutes and water slowly.
