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 B

Explanation

Choice A reason: Periorbital edema, dark frothy urine, and elevated blood pressure are more indicative of conditions like nephrotic syndrome rather than kidney stones.

Choice B reason: Severe flank pain, nausea, and vomiting are classic symptoms associated with kidney stones, and such clients should be educated on kidney stone prevention.

Choice C reason: Polyuria, nocturia, proteinuria, and a palpable kidney mass could suggest other renal issues, but not specifically kidney stones.

Choice D reason: Urinary urgency, weak urine stream, and dysuria could be symptoms of a urinary tract infection or prostate issues in males, rather than kidney stones.

A. Eat at least 45 g of fiber per day. B. Consume less than 0.8 g/kg of body weight of protein per day. C. Eat no more than 300 mg of cholesterol per day. D. Consume less than 45% of total calories from carbohydrates per day.

Correct Answer is B

Explanation

Choice A reason: While fiber is important in a diet, recommending at least 45 g per day does not specifically address the needs of a patient with diabetic nephropathy.

Choice B reason: Consuming less than 0.8 g/kg of body weight of protein per day is recommended for patients with diabetic nephropathy to reduce the workload on the kidneys.

Choice C reason: Limiting cholesterol intake to 300 mg per day is a general recommendation for heart health but is not specific to diabetic nephropathy dietary management.

Choice D reason: The recommendation to consume less than 45% of total calories from carbohydrates is not specific to diabetic nephropathy, and carbohydrate needs can vary based on individual energy requirements.

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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

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