Author Question: Which intervention will be included in the plan of care for a male patient with acute kidney injury ... (Read 81 times)

yoooooman · **on:** Jun 25, 2018

Which intervention will be included in the plan of care for a male patient with acute kidney injury (AKI) who has a temporary vascular access catheter in the left femoral vein?

a. Start continuous pulse oximetry.
b. Restrict physical activity to bed rest.
c. Restrict the patient's oral protein intake.
d. Discontinue the urethral retention catheter.

Question 2

Before administration of captopril (Capoten) to a patient with stage 2 chronic kidney disease (CKD), the nurse will check the patient's

a. glucose.
b. potassium.
c. creatinine.
d. phosphate.

ecox1012 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The patient with a femoral vein catheter must be on bed rest to prevent trauma to the vein. Protein intake is likely to be increased when the patient is receiving dialysis. The retention catheter is likely to remain in place because accurate measurement of output will be needed. There is no indication that the patient needs continuous pulse oximetry.

Answer to Question 2

ANS: B
Angiotensin-converting enzyme (ACE) inhibitors are frequently used in patients with CKD because they delay the progression of the CKD, but they cause potassium retention. Therefore careful monitoring of potassium levels is needed in patients who are at risk for hyperkalemia. The other laboratory values would also be monitored in patients with CKD but would not affect whether the captopril was given or not.