Author Question: A client is hospitalized in the oliguric phase of acute kidney injury (AKI) and is receiving tube ... (Read 72 times)

mckennatimberlake · **on:** Jun 25, 2018

A client is hospitalized in the oliguric phase of acute kidney injury (AKI) and is receiving tube feedings. The nurse is teaching the client's spouse about the kidney-specific formulation for the enteral solution compared to standard formulas.

What components should be discussed in the teaching plan? (Select all that apply.)
a.
Lower sodium
b.
Higher calcium
c.
Lower potassium
d.
Higher phosphorus
e.
Higher calories

Question 2

The nurse is teaching a client how to increase the flow of dialysate into the peritoneal cavity during dialysis. Which statement by the client demonstrates a correct understanding of the teaching?

a. I should leave the drainage bag above the level of my abdomen.
b. I could flush the tubing with normal saline if the flow stops.
c. I should take a stool softener every morning to avoid constipation.
d. My diet should have low fiber in it to prevent any irritation.

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

Answer to Question 1

ANS: A, C, E
Many clients with AKI are too ill to meet caloric goals and require tube feedings with kidney-specific formulas that are lower in sodium, potassium, and phosphorus, and higher in calories than are standard formulas.

Answer to Question 2

ANS: C
Inflow and outflow problems of the dialysate are best controlled by preventing constipation. A daily stool softener is the best option for the client. The drainage bag should be below the level of the abdomen. Flushing the tubing will not help with the flow. A diet high in fiber will also help with a constipation problem.