20- A client who has developed acute kidney injury (AKI) due to an aminoglycoside antibiotic has moved from the oliguric phase to the diuretic phase of AKI. Which parameters are most important for the nurse to plan to carefully monitor?

a.     Side effect of total parental nutrition (TPN) and Intralipids.

b.     Uremic irritation of mucous membranes and skin surfaces.

c.     Elevated creatinine and blood urea nitrogen (BUN).

d.     Hypovolemia and electrocardiographic (ECG) changes.

 

d.     Hypovolemia and electrocardiographic (ECG) changes

Step-by-step explanation

When the patient is in the diuretic phase of acute renal failure, parenteral nutrition will be adjusted to the loss of electrolytes, at this stage no side effect of nutrition is expected because there is increased loss of electrolytes, uremic irritation and Elevated creatinine and urea nitrogen are more characteristic of the oliguric phase, however, in a patient who starts diuresis, the loss of electrolytes is high, so there may be hyponatremia and hypokalemia, which can be observed in hypovolemia and cardiac affectations of potassium on the heart which will be observed in the electrocardiogram, these conditions can put the patient's life at risk, so it is a priority to give them management.