A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?

Diabetes

Obesity

Hemochromatosis

Ulcerative colitis

Answer and Explanation

The Correct Answer is A

Choice A reason: Diabetes can increase the risk of infection, including peritonitis, due to immune system impairment.

Choice B reason: Obesity may contribute to surgical complications but is not directly linked to an increased risk of peritonitis in the context of peritoneal dialysis.

Choice C reason: Hemochromatosis can affect many organs but is not directly linked to an increased risk of peritonitis in peritoneal dialysis.

Choice D reason: Ulcerative colitis affects the colon and is not directly linked to an increased risk of peritonitis in peritoneal dialysis.

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Correct Answer is ["A","B"]

Explanation

Choice A reason: The normal range for serum creatinine in adult females is approximately 0.6–1.1 mg/dL. A level of 1.8 mg/dL is elevated and indicates impaired kidney function, which is a risk factor for AKI.

Choice B reason: Normal BUN levels are generally between 6 to 24 mg/dL⁸. A BUN level of 200 mg/dL is significantly elevated and suggests kidney dysfunction, which can lead to AKI.

Choice C reason: Serum osmolality in the normal range, which is typically between 275 to 295 mOsm/kg H2O for adults⁹[13][^10^][14][16], does not indicate an increased risk of AKI.

Choice D reason: The normal range for serum magnesium is typically 1.7 to 2.2 mg/dL or 0.85 to 1.10 mmol/L. A level of 2.0 mEq/L (which is equivalent to 2.0 mg/dL) is within the normal range and does not indicate an increased risk for AKI.

A. Urine albumin increasing B. Glomerular filtration rate (GFR) increasing C. Creatinine decreasing D. Proteinuria decreasing, or decreased protein in the urine

Correct Answer is A

Explanation

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

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A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B"]

Explanation

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Correct Answer is A

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