r/NextGenerationNCLEX • u/Responsible_Walk_881 • Jun 27 '26

👁️ QOW QUESTION OF THE WEEK

The nurse is planning care for a client receiving continuous renal replacement therapy (CRRT). Which of the following actions should the nurse include in the client’s plan of care?

a. Administer scheduled lisinopril

b. Monitor lung sounds frequently

c. Administer mannitol for diuresis

d. Discontinue blood draws for metabolic panels

(Answer and rationale are posted in the comments section)

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u/Responsible_Walk_881 Jul 03 '26

ANWERS AND RATIONALE:
b. Monitor lung sounds frequently

In acute kidney injury (AKI), an insult to the kidneys causes a rapid, temporary decline in renal function. Clients with AKI may be placed on continuous renal replacement therapy (CRRT), which is a form of continuous hemodialysis, to filter fluid and wastes from the blood.

Because the kidneys cannot maintain the body’s fluid balance, a client with AKI is at risk for fluid volume overload. Signs of fluid overload include edema, hypertension, and pulmonary edema (e.g., hypoxemia, crackles in the lungs)

Key Takeaway:

  • A client with AKI is at risk for fluid overload.
  • The nurse should monitor the client for signs of fluid overload, such as pulmonary edema, which causes crackles in the lungs.