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Author Question: When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, the nurse will ... (Read 82 times)

nautica902

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on: Jun 25, 2018
When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, the nurse will expect an assessment finding of
 
  a. persistent skin tenting
  b. rapid, deep respirations.
  c. bounding peripheral pulses.
  d. hot, flushed face and neck.

Question 2

The nurse is planning care for a patient with severe heart failure who has developed elevated blood urea nitrogen (BUN) and creatinine levels. The primary collaborative treatment goal in the plan will be
 
  a. augmenting fluid volume.
  b. maintaining cardiac output.
  c. diluting nephrotoxic substances.
  d. preventing systemic hypertension.


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jamesnevil303

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
Patients with metabolic acidosis caused by AKI may have Kussmaul respirations as the lungs try to regulate carbon dioxide. Bounding pulses and vasodilation are not associated with metabolic acidosis. Because the patient is likely to have fluid retention, poor skin turgor would not be a finding in AKI.

Answer to Question 2

ANS: B
The primary goal of treatment for acute kidney injury (AKI) is to eliminate the cause and provide supportive care while the kidneys recover. Because this patient's heart failure is causing AKI, the care will be directed toward treatment of the heart failure. For renal failure caused by hypertension, hypovolemia, or nephrotoxins, the other responses would be correct.


nautica902

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Reply #2 on: Jun 25, 2018
Thank you


jamesnevil303

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Reply #3 on: Jun 25, 2018
No problemo


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