A nurse is responsible for screening clients history for risk factors for possible complications. A nurse is correlating data documented in a client's medical history. The nurse should recognize that which client data indicates risk factors for acute kidney injury? (Select all that apply.)

A. Low serum albumin: This decreases plasma oncotic pressure, leading to fluid leakage into tissues and reduced circulating volume. Lower intravascular volume compromises renal perfusion, increasing the risk for prerenal acute kidney injury. B. Hypovolemia: Reduced circulating volume from fluid loss or dehydration limits renal blood flow. This is a direct and common cause of prerenal acute kidney injury and requires prompt correction to prevent kidney damage. C. Renal calculi: Obstruction caused by kidney stones can block urine flow, leading to increased intratubular pressure and potential postrenal acute kidney injury. Timely identification and relief of obstruction are essential. D. Ineffective wound healing: Although this may reflect poor nutritional or circulatory status, it does not directly contribute to acute kidney injury. It is not considered a primary risk factor for AKI. E. Hypertension: Chronic hypertension damages the small blood vessels in the kidneys, impairing filtration. It also increases susceptibility to acute injury from other insults like contrast agents or volume shifts.