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    Med surg proctored exam( neurorenaldiabetic)

    Your patient with acute kidney injury seems to be urinating more frequently after having a period of reduced urine output. You begin to think they are in the diuretic phase of AKI at this time. What do you want to monitor in this patient during this stage?

    Explanation & Rationale

    A. Monitor for skin breakdown is incorrect because while skin care is always important, it is not the priority concern during the diuretic phase of AKI. The main issue in this phase is fluid and electrolyte losses rather than pressure-related skin issues. B. Monitor for loose stools is incorrect because gastrointestinal issues like diarrhea are not directly associated with the diuretic phase of AKI. Loose stools may occur due to other causes, but they are not a primary concern in this stage. C. Monitor neurological status is incorrect because although electrolyte imbalances can affect neurological function, the most immediate risk during the diuretic phase is volume depletion and hypotension, which can worsen kidney injury. D. You want to monitor for hypotension is correct because the diuretic phase of AKI is characterized by high urine output, which can lead to significant fluid and electrolyte losses. This puts the patient at risk for hypovolemia and hypotension, which can compromise renal perfusion and delay recovery. Nursing care during this phase focuses on careful monitoring of blood pressure, fluid status, and electrolytes, and replacing fluids as needed to maintain hemodynamic stability.

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