Difficulty: Medium
Average Score: 80%
Simulated
The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?
Correct answer
A
Rationale
Dyspnea and tachycardia in AKI suggest fluid overload, potentially leading to pulmonary edema and heart failure. This requires immediate intervention like diuretics or dialysis. Bad taste and low urine output are expected in AKI. Productive cough and fever suggest infection but aren't directly related to AKI complications.