Practice Question
A nurse is caring for a client diagnosed with bacterial meningitis and is receiving gentamicin. Morning laboratory results include the following: BUN 31 mg/dL, creatinine 1.8 mg/dL, and glomerular filtration rate 55 ml/min. Which of the following conditions does the client's laboratory results most likely indicate?
Answer Choices:
Correct Answer:
An intrarenal acute kidney injury
Rationale:
✅Gentamicin is an aminoglycoside antibiotic known to cause nephrotoxicity, specifically acute tubular necrosis, which is a form of intrarenal AKI.
✅Elevated BUN (31), creatinine (1.8), and reduced GFR (55 mL/min) point to impaired filtration at the nephron level, not just reduced perfusion (pre-renal) or obstruction (post-renal).
✅This classification is critical for determining the appropriate intervention and monitoring.
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This question is from RN Fundamentals~Exam 2 which contains 57 questions.
More Questions from This Exam
A nurse is caring for a client with a new diagnosis of acute kidney injury. The client states, "This is going to mess my life up." Which of the following is the best response by the nurse to assist the client to begin to understand the impact of this disease?
Answer Choices:
A. "You have just been diagnosed so it really won't impact your life too much right away"
B. "With all the treatments they have for this disease, you will be okay"
C. "The only concern related to the disease that clients have are financial concerns."
D. "Clients with this disease typically have concerns with finances, treatment and adjusting to a new normal.
A nurse is assisting the registered nurse conduct an admission assessment of a client with benign prostatic hypertrophy (BPH). The client states they avoid social events due to this condition. Which of the following client findings should the nurse expect to find in the assessment? (Select all that apply.)
Answer Choices:
A. Dysuria
B. Urinary urgency
C. Incontinence
D. Urinary frequency
E. Inability to void
F. Impotence
A nurse is caring for a group of clients, who all are incontinent of urine, on the medical-surgical unit. Which comorbidities should the nurse expect to find in their medical records? (Select all that apply.)
Answer Choices:
A. Chronic obstructive pulmonary disease (COPD)
B. Heart failure
C. Diabetes mellitus
D. Multiple sclerosis
A nurse is caring for a client who has chronic glomerulonephritis. The assistive personnel (AP) brings a snack into the client's room. Which of the following foods should the nurse stop the AP from giving to this client?
Answer Choices:
A. Apple
B. Banana
C. Pineapple
D. Red grapes
A nurse is caring for a client admitted to the urology unit with complaints of shortness of breath and a diagnosis of chronic kidney disease. Which of the following pathophysiological changes in the renal system led to the admitting diagnosis of chronic kidney disease?
Answer Choices:
A. Chronic nephropathies that lead to fibrosis and destruction of normal kidney structure and function
B. Obstruction leading to the filtration system backing up and eventually shutting the kidneys down
C. Reduction of blood flow to the kidneys
D. Acute tubular necrosis caused by the damage to the cells of the renal tubules leading to cell death and a decreased glomerular filtration rate
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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