A client is scheduled for a renal function panel to evaluate hypertension-related kidney damage. Which lab values should the nurse expect to be included in this panel?

Liver enzymes (ALT and AST)

Creatinine and BUN (blood urea nitrogen) levels

Blood glucose and HbA1c levels

Prothrombin time (PT) and international normalized ratio (INR)

Answer and Explanation

The Correct Answer is B

A) This option is incorrect. Liver enzymes (ALT and AST) are not relevant to assessing kidney function or hypertension-related kidney damage.

B) Correct answer. A renal function panel typically includes creatinine and BUN levels, as they are essential markers used to evaluate kidney function in the context of hypertension.

C) This option is incorrect. Blood glucose and HbA1c levels are related to diabetes assessment and management, not kidney function in hypertension.

D) This option is incorrect. Prothrombin time (PT) and international normalized

ratio (INR) are coagulation tests used to evaluate blood clotting, not kidney function or hypertension-related kidney damage.

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Correct Answer is C

Explanation

A) This option is incorrect. Hypertensive encephalopathy results from severe and uncontrolled hypertension, causing brain swelling. It is not directly associated with hypertensive heart disease.

B) This option is incorrect. Atherosclerosis is a common complication of hypertension but is not specifically related to hypertensive heart disease.

C) Correct answer. Hypertensive heart disease refers to changes in the heart muscle structure due to chronic high blood pressure. Left ventricular hypertrophy (LVH) is a common consequence of uncontrolled hypertension, where the left ventricle of the heart becomes thickened and enlarged.

D) This option is incorrect. Peripheral artery disease (PAD) is caused by atherosclerosis in the peripheral arteries and is not directly related to hypertensive heart disease.

A. Peripheral neuropathy B. Impaired liver function C. Heart valve abnormalities D. Chronic kidney disease (CKD)

Correct Answer is D

Explanation

A) This option is incorrect. Peripheral neuropathy is not directly associated with hypertensive nephropathy.

B) This option is incorrect. Hypertensive nephropathy primarily affects the kidneys and does not directly impair liver function.

C) This option is incorrect. Heart valve abnormalities are not typical complications of hypertensive nephropathy.

D) Correct answer. Hypertensive nephropathy refers to kidney damage caused by chronic high blood pressure. It can lead to chronic kidney disease (CKD), a progressive loss of kidney function over time.

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A client is scheduled for a renal function panel to evaluate hypertension-related kidney damage. Which lab values should the nurse expect to be included in this panel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with hypertension about the potential complications of the condition. Which complication should the nurse emphasize as a result of hypertensive heart disease?

Correct Answer is C

Explanation

A client with long-standing hypertension asks the nurse about the potential complications of the condition. Which complication should the nurse recognize as a result of hypertensive nephropathy?

Correct Answer is D

Explanation

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