A patient with acute kidney injury enters the diuretic phase and produces 4,000 mL of urine in 24 hours. Which complication requires close monitoring?
Correct answer: A. Fluid volume deficit and electrolyte loss
- A. Fluid volume deficit and electrolyte loss
- B. Pulmonary edema and severe hypertension
- C. Hypervolemia and dependent edema
- D. Complete urinary obstruction and anuria
Explanation
During the diuretic phase, the kidneys may produce large amounts of dilute urine without restoring normal concentrating ability. This can cause dehydration and loss of potassium and other electrolytes, so intake, output, weight, and laboratory results require close monitoring.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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