The nurse is caring for acutely ill patient. What assessment finding should prompt the nurse to inform the physician that the patient may be exhibiting signs of acute kidney injury (AKI)?
A) The patient is complains of an inability to initiate voiding.
B) The patient's urine is cloudy with a foul odor.
C) The patient's average urine output has been 10 mL/hr for several hours.
D) The patient complains of acute flank pain.
Ans: C
Feedback:
Oliguria (<500 mL/d of urine) is the most common clinical situation seen in AKI. Flank pain and inability to initiate voiding are not characteristic of AKI. Cloudy, foul-smelling urine is suggestive of a urinary tract infection.
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