A client is admitted with acute kidney injury (AKI) and a urine ...

[jake]

A client is admitted with acute kidney injury (AKI) and a urine output of 2000 mL/day. What is the major concern of the nurse regarding this client's care?
 
  a. Edema and pain
  b. Electrolyte and fluid imbalance
  c. Cardiac and respiratory status
  d. Mental health status

Question 2

A client has just had a central line catheter placed that is specific for hemodialysis. What is the most appropriate action by the nurse?
 
  a. Use the catheter for the next laboratory blood draw.
  b. Monitor the central venous pressure through this line.
  c. Access the line for the next intravenous medication.
  d. Place a heparin or heparin/saline dwell after hemodialysis.

[zacnyjessica]

Answer to Question 1

ANS: B
This client may have an inflammatory cause of AKI with proteins entering the glomerulus and holding the fluid in the filtrate, causing polyuria. Electrolyte loss and fluid balance is essential. Edema and pain are not usually a problem with fluid loss. There could be changes in the client's cardiac, respiratory, and mental health status if the electrolyte imbalance is not treated.

Answer to Question 2

ANS: D
The central line should have a heparin or heparin/saline dwell after hemodialysis treatment. The central line catheter used for dialysis should not be used for blood sampling, monitoring central venous pressures, or giving drugs or fluids.

[jake]

Thanks for the timely response, appreciate it

[Sarahjh]

TYSM