Difficulty: Medium
Average Score: 89%
Simulated
A client is admitted with oliguria after taking an aminoglycoside antibiotic for 3 days. Which laboratory findings are consistent with acute kidney injury (AKI)? Reference Range: Blood urea nitrogen [10 to 20 mg/dL (3.6 to 7.1 mmol/L)], Creatinine [0.5 to 1.1 mg/dL (44 to 97 ├é┬Ámol/L)], Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)], Urine specific gravity [1.005 to 1.030], pH [7.35 to 7.45]
Correct answer
D
Rationale
AKI is characterized by rapid rise in serum creatinine (>0.3 mg/dL in 48h or >50% baseline) and BUN, oliguria, and often hyperkalemia. Option shows creatinine 6.1 mg/dL (markedly elevated), BUN 53 mg/dL (elevated), and potassium 6 mEq/L (hyperkalemia)-all classic for AKI. Option has elevated BUN but normal creatinine (inconsistent). A and have near-normal values.