Case Study
Ati Med Surg Acid Base ND Renal Proctored Exam
A nurse is caring for an adult client in the medical-surgical unit who has been experiencing decreased urine output and fatigue. The client has a history of prolonged hypotension due to septic shock and presents with signs of fluid overload. Drag the words from the choices below to fill in each blank in the following sentence. Key findings that indicate acute kidney injury include dropdown, dropdown, and dropdown.
Explanation & Rationale
The complete sentence is: Key findings that indicate acute kidney injury include elevated creatinine levels, oliguria, and azotemia. 🧾 Rationale Elevated creatinine levels (2.5 → 2.8 mg/dL) → Indicates impaired renal clearance. Oliguria (100 mL in 4 hours) → Urine output <0.5 mL/kg/hr is diagnostic for AKI. Azotemia (BUN 35 → 40 mg/dL) → Accumulation of nitrogenous waste products due to reduced kidney function. The distractors don’t fit: Normal urine specific gravity → Seen in AKI but not a defining key finding. Increased urine output → Opposite of oliguria. Hypophosphatemia → Not present here; AKI usually causes hyperphosphatemia.
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