Author Question: A nurse is caring for a postoperative 70-kg client who had major blood loss during surgery. Which ... (Read 75 times)

appyboo · **on:** Jun 25, 2018

A nurse is caring for a postoperative 70-kg client who had major blood loss during surgery. Which findings by the nurse should prompt immediate action to prevent acute kidney injury? (Select all that apply.)

a. Urine output of 100 mL in 4 hours
b. Urine output of 500 mL in 12 hours
c. Large amount of sediment in the urine
d. Amber, odorless urine
e. Blood pressure of 90/60 mm Hg

Question 2

The nurse is caring for five clients on the medical-surgical unit. Which clients would the nurse consider to be at risk for post-renal acute kidney injury (AKI)? (Select all that apply.)

a. Man with prostate cancer
b. Woman with blood clots in the urinary tract
c. Client with ureterolithiasis
d. Firefighter with severe burns
e. Young woman with lupus

jaymee143 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, C, E
The low urine output, sediment, and blood pressure should be reported to the provider. Postoperatively, the nurse should measure intake and output, check the characteristics of the urine, and report sediment, hematuria, and urine output of less than 0.5 mL/kg/hour for 3 to 4 hours. A urine output of 100 mL is low, but a urine output of 500 mL in 12 hours should be within normal limits. Perfusion to the kidneys is compromised with low blood pressure. The amber odorless urine is normal.

Answer to Question 2

ANS: A, B, C
Urine flow obstruction, such as prostate cancer, blood clots in the urinary tract, and kidney stones (ureterolithiasis), causes post-renal AKI. Severe burns would be a pre-renal cause. Lupus would be an intrarenal cause for AKI.