Author Question: A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an ... (Read 78 times)

BrownTown3 · **on:** Jun 25, 2018

A patient in the oliguric phase after an acute kidney injury has had a 250 mL urine output and an emesis of 100 mL in the past 24 hours. What is the patient's fluid restriction for the next 24 hours?

What will be an ideal response?

Question 2

After receiving change-of-shift report, which patient should the nurse assess first?

a. Patient who is scheduled for the drain phase of a peritoneal dialysis exchange
b. Patient with stage 4 chronic kidney disease who has an elevated phosphate level
c. Patient with stage 5 chronic kidney disease who has a potassium level of 3.4 mEq/L
d. Patient who has just returned from having hemodialysis and has a heart rate of 124/min

aloop · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS:
950 mL
The general rule for calculating fluid restrictions is to add all fluid losses for the previous 24 hours, plus 600 mL for insensible losses: (250 + 100 + 600 = 950 mL).

Answer to Question 2

ANS: D
The patient who is tachycardic after hemodialysis may be bleeding or excessively hypovolemic and should be assessed immediately for these complications. The other patients also need assessments or interventions but are not at risk for life-threatening complications.