A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?

Urine albumin increasing

Glomerular filtration rate (GFR) increasing

Creatinine decreasing

Proteinuria decreasing, or decreased protein in the urine

Answer and Explanation

The Correct Answer is A

Choice A reason: As CKD progresses, the kidneys' ability to filter blood decreases, leading to an increase in urine albumin, a sign of kidney damage.

Choice B reason: GFR would decrease, not increase, as CKD progresses because the kidneys' filtering capacity diminishes.

Choice C reason: Creatinine levels would increase, not decrease, as kidney function worsens in CKD.

Choice D reason: Proteinuria would increase, not decrease, as CKD progresses due to the kidneys' impaired filtering

ability

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Correct Answer is A

Explanation

Choice A reason: A distended bladder can cause low back pain due to the pressure and stretching of the bladder wall, which is often related to a urinary disorder such as urinary retention or obstruction.

Choice B reason: A stress fracture is less likely to be the cause of low back pain associated with an inability to void and a distended bladder.

Choice C reason: Nerve root pain typically presents with radiating pain down the leg rather than low back pain associated with urinary symptoms.

Choice D reason: Renal cancer could potentially cause low back pain, but it would not typically cause an inability to void or a distended bladder without other significant symptoms.

A. Hemoglobin 16 g/dL B. BUN 15 mg/dL C. Serum potassium 4.5 mEq/L D. Serum creatinine 6 mg/dL

Correct Answer is D

Explanation

Choice A reason: A hemoglobin level of 16 g/dL is within the normal range and does not indicate acute kidney injury.

Choice B reason: A BUN level of 15 mg/dL is also within the normal range and does not suggest acute kidney injury.

Choice C reason: A serum potassium level of 4.5 mEq/L is within the normal range and is not indicative of acute kidney injury.

Choice D reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury.

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A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has low back pain reports that they are unable to void. The nurse notices a distended bladder on assessment. Which of the following is the likely cause of this client's low back pain?

Correct Answer is A

Explanation

A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

Correct Answer is D

Explanation

A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nursereport immediately to the provider?

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?

A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)