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Nursing
QUESTION #9228
Question 1
A critically ill patient develops Acute Kidney Injury (AKI). According to the KDIGO RIFLE criteria, a patient whose serum creatinine has increased to 2.5 times the baseline within 7 days is classified at which stage?
Correct Answer Explanation
Correct Answer: B — Injury / Stage 2
KDIGO AKI Staging Criteria:
A creatinine rise of \(\times 2.5\) falls within the Stage 2 (Injury) range. Early recognition and fluid optimization are critical nursing responsibilities in AKI management.
KDIGO AKI Staging Criteria:
| Stage | Serum Creatinine | Urine Output |
|---|---|---|
| 1 (Risk) | \(\times 1.5 - 1.9\) baseline within 7 days OR \(\uparrow \geq 0.3 \text{ mg/dL}\) within 48h | \(< 0.5 \text{ mL/kg/h}\) for \(6-12\) h |
| 2 (Injury) | \(\times 2.0 - 2.9\) baseline | \(< 0.5 \text{ mL/kg/h}\) for \(\geq 12\) h |
| 3 (Failure) | \(\times 3.0\) baseline OR \(\geq 4.0 \text{ mg/dL}\) OR initiation of RRT | \(< 0.3 \text{ mL/kg/h}\) for \(\geq 24\) h OR anuria \(\geq 12\) h |
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