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    Ati med surg proctored examQuestion 32
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    Ati med surg proctored exam

    A nurse is caring for an elderly client in a medical unit. Exhibits For each nursing intervention listed below, indicate whether the intervention is appropriate for managing acute kidney injury (AKI), chronic kidney disease (CKD), or both. Each intervention may be associated with more than one condition

    Explanation & Rationale

    Educating on limiting foods high in phosphorus is more specific to chronic kidney disease, where impaired renal excretion causes long-term hyperphosphatemia. This education helps prevent complications such as renal osteodystrophy and secondary hyperparathyroidism that occur in progressive CKD. Administering corticosteroids for nephrotic syndrome may be relevant in both acute and chronic presentations because nephrotic syndrome can occur as a complication of glomerular injury. Corticosteroids help reduce inflammation and proteinuria regardless of whether the renal impairment is acute or chronic. Ensuring informed consent for renal diagnostic procedures applies to both AKI and CKD since clients with either condition may require imaging, biopsy, or dialysis access placement. Informed consent ensures patient understanding and legal protection while promoting safety in invasive interventions. Monitoring fluid intake and output is essential in both AKI and CKD because altered kidney function leads to fluid imbalance. Careful monitoring helps guide fluid restriction or replacement, prevents overload, and assists in evaluating renal function changes over time.

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