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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?
  • Risk (Stage 1)
  • Injury (Stage 2)✔️
  • Failure (Stage 3)
  • Loss
Correct Answer Explanation
Correct Answer: B — Injury / Stage 2

KDIGO AKI Staging Criteria:
StageSerum CreatinineUrine 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
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.