Which of the following clients is at risk of developing acut... | ATI Med Surg Exam (IV)

Practice Question

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

Answer Choices:

A. A client who is having an exacerbation of left-sided heart failure

B. A client with multiple sclerosis who has a flaccid bladder

C. A client who will receive contrast media for an MRI ✓ Correct Answer

D. A client who has thrombotic thrombocytopenic purpura

Correct Answer:

A client who will receive contrast media for an MRI

Rationale:

⫸ Post-renal AKI occurs due to obstruction of urine flow, leading to back pressure on the kidneys and impaired function.

⫸ A flaccid (neurogenic) bladder can cause urinary retention, increasing the risk for hydronephrosis and AKI.

⫸ Heart failure causes prerenal AKI, contrast media causes intrinsic AKI, and TTP causes vascular injury.

⫸ Addressing urinary retention is critical in preventing long-term renal damage.

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A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

Answer Choices:

A. Insulin and sodium bicarbonate

B. Calcium gluconate

C. Patiromer (Veltassa)

D. Lisinopril

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The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

Answer Choices:

A. You will need to eat a high-potassium and high-protein diet

B. You may end up needing dialysis as the disease progresses.

C. You will need to undergo a vasectomy because people with this condition should not have children.

D. People with this genetic condition are not candidates for kidney transplant

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A nurse is caring for a client who recently had a streptococcal infection of the throat, and is now experiencing new-onset flank pain. Urinalysis is positive for proteinuria and hematuria. The client's urine output for the past 24 hours has been 250 mL, and BUN and creatinine are elevated. On assessment, the nurse notes pitting edema to the bilateral lower extremities. Which of the following interventions is appropriate in the plan of care?

Answer Choices:

A. Encourage frequent ambulation.

B. Obtain weight weekly

C. Place the client on a low-protein diet.

D. Encourage increased fluid intake.

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A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

Answer Choices:

A. Comparing the client's current weight to the last post-dialysis weight

B. Measuring the client's current creatinine and BUN levels.

C. Assessing the client's skin turgor and peripheral edema.

D. Auscultating the client's lung sounds for crackles.

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A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Answer Choices:

A. Calcium gluconate

B. Antibiotics

C. Tamsulosin

D. Phosphate binders

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ATI Med Surg Exam (IV)

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Question Details

Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI MED-SURG
Answer Choices: 4

NursingSprint

Practice Question

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

Correct Answer:

Rationale:

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More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

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ATI Med Surg Exam (IV)

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Practice Question

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

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ATI Med Surg Exam (IV)

Question Details

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