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
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
.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A reason: Fever can occur if the renal calculus leads to infection, which is a common complication associated with kidney stones.
Choice B reason: Urinary urgency is a symptom that can be associated with renal calculi, especially if the stones are
located in the lower part of the urinary tract.
Choice C reason: Incontinence is not typically a direct symptom of renal calculi, but it may occur secondary to other symptoms or complications.
Choice D reason: Gastrointestinal upset is not a common symptom of renal calculus, although some patients may experience nausea and vomiting.
Choice E reason: Flank pain is a classic symptom of renal calculus, often described as severe and colicky, radiating from the back towards the groin.
Correct Answer is C
Explanation
Choice A reason: During the oliguric phase of acute kidney injury, BUN and creatinine levels typically increase, not decrease, due to reduced kidney function.
Choice B reason: Renal function is not reestablished during the oliguric phase; this phase is characterized by decreased function.
Choice C reason: The oliguric phase is defined by significantly reduced urine output, often less than 400 mL per 24 hours.
Choice D reason: The GFR does not recover during the oliguric phase; it is usually decreased.
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