A patient with acute kidney injury develops pulmonary edema despite appropriate medical management. Which AEIOU indication does this represent?
4 Dialysis in Acute Kidney Injury Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Dialysis in Acute Kidney Injury, test your knowledge, and prepare for your next test or exam.
What complication can result from rapid urea removal during intermittent hemodialysis?
During continuous renal replacement therapy, clinicians should watch for .
True or false: A single elevated BUN or creatinine value is, by itself, a universal trigger to start renal replacement therapy in acute kidney injury.
- A
True
- B
False
A patient with acute kidney injury is hemodynamically unstable and needs gradual fluid removal. Which modality is often selected?
- A
Intermittent hemodialysis (IHD)
- B
Peritoneal dialysis (PD)
- C
Continuous renal replacement therapy (CRRT)
- D
Prolonged intermittent dialysis (SLED)
What best describes dialysis's role in acute kidney injury, given that it does not directly repair injured kidneys?
Select all statements that accurately describe peritoneal dialysis for acute kidney injury.
- A
Dialysate is placed in the abdominal cavity, and the peritoneum acts as the exchange membrane.
- B
It requires a usable peritoneal cavity and catheter.
- C
It always provides more predictable fluid removal than extracorporeal modalities.
- D
It avoids the risk of peritonitis.
- E
Abdominal fill volume may impair breathing.
True or false: Prolonged intermittent dialysis, such as SLED, may be considered when conventional intermittent hemodialysis is poorly tolerated and CRRT is unavailable or not preferred.
- A
True
- B
False
For acute kidney injury, KDIGO recommends a delivered CRRT effluent volume of .
A patient with acute kidney injury has severe hyperkalemia that persists despite medical treatment. If rapid potassium removal is needed and the patient can tolerate it, which modality may be useful?
- A
Intermittent hemodialysis (IHD)
- B
Peritoneal dialysis (PD)
- C
Continuous renal replacement therapy (CRRT)
- D
Prolonged intermittent dialysis (SLED)
Select all items that are appropriate to monitor during renal replacement therapy for acute kidney injury.
- A
Blood pressure and other vital signs
- B
Fluid input and output, weight, and clinical volume status
- C
Access and circuit function, including treatment interruptions
- D
Electrolytes and acid–base status at intervals appropriate to the patient and modality
- E
Only the patient's creatinine, without checking clinical status or circuit function
When should renal replacement therapy for acute kidney injury be discontinued?
- A
When a single creatinine measurement falls below a universal cutoff
- B
Only after the patient has completed a fixed number of treatments
- C
Whenever urine output increases, regardless of the patient's needs
- D
When kidney function sufficiently meets the patient's needs or treatment no longer aligns with goals of care
During renal replacement therapy for acute kidney injury, a patient develops hypotension while fluid is being removed and the treatment has been interrupted several times. Describe what should be reassessed and monitored, and how the fluid-removal plan should be approached.
Which complication may occur during continuous renal replacement therapy (CRRT)?
- A
Hypothermia
- B
Dialysis disequilibrium
- C
Peritonitis
- D
Protein loss
Which condition is an indication to consider urgent renal replacement therapy (RRT) in a patient with acute kidney injury?
- A
Severe metabolic acidosis persisting despite appropriate medical treatment
- B
A rising creatinine value by itself
- C
Mild acidosis that responds to medical treatment
- D
Oliguria without other concerning findings
A patient with acute kidney injury has a rising creatinine but no other information is provided. Which approach to deciding about RRT is best supported?
- A
Consider symptoms, trends, fluid balance, and the overall condition rather than relying on one laboratory value.
- B
Start RRT whenever creatinine rises, regardless of symptoms or other findings.
- C
Wait until both BUN and creatinine reach fixed universal thresholds.
- D
Use oliguria alone to determine whether RRT is required.
For a patient with acute kidney injury receiving CRRT, what delivered effluent volume does KDIGO recommend?
- A
10–15 mL/kg/hour
- B
20–25 mL/kg/hour
- C
30–35 mL/kg/hour
- D
40–45 mL/kg/hour
True or false: Dialysis directly repairs injured kidneys in acute kidney injury.
- A
True
- B
False
What is the standard abbreviation for continuous renal replacement therapy, a modality often selected when gradual fluid removal is desirable?
For acute kidney injury, KDIGO recommends a delivered CRRT effluent volume of 20–25 mL/kg/hour. What is the lower end of this recommended range? Enter the value in mL/kg/hour.
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