Assignment Task:
A nurse practitioner (NP) is evaluating a 40-year-old female named Jamila Akebdani (pronouns she/her/hers). Jamila has a history of systemic lupus erythematosus (SLE) and presents with complaints of fatigue and decreased urine output over the past week. She also reports a recent flare-up of SLE symptoms, including joint pain and a butterfly rash on the face. Jamila's vital signs are normal; laboratory studies indicate elevated blood urea nitrogen (BUN) and creatinine, elevated antinuclear antibody (ANA) titers, and proteinuria and hematuria in the urinalysis.?
Considering the client's history of SLE and current symptoms, which of the following is the most likely cause of acute kidney injury (AKI) in this client?? Need Assignment Help?
- Prerenal AKI due to dehydration?
- Postrenal AKI due to urinary tract obstruction?
- Intrarenal (intrinsic) AKI due to heart failure?
- Intrarenal (intrinsic) AKI due to lupus nephritis