A nurse is caring for a client who will have blood sampling for serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

"This test will tell your doctor how your kidneys are functioning."

"This test will tell if you have severe renal impairment or a disease."

"We'll find out if any medications, such as steroids, are interfering with your kidney function."

"You'll have to ask your doctor."

Answer and Explanation

The Correct Answer is A

Choice A reason: The serum creatinine test measures the amount of creatinine in the blood and provides information about kidney function. Normal ranges for serum creatinine levels are 0.74 to 1.35 mg/dL for adult men and 0.59 to

1.04 mg/dL for adult women. This test is a common way to assess renal function and can indicate if the kidneys are not filtering waste eﬀectively.

Choice B reason: While a serum creatinine test can indicate severe renal impairment, it does not diagnose a specific disease. Further testing would be required to determine the presence of a particular renal disease.

Choice C reason: The serum creatinine test does not directly show if medications are aﬀecting kidney function. However, if a patient is on medications known to aﬀect the kidneys, such as certain steroids, changes in creatinine levels can suggest an impact on renal function.

Choice D reason: It is part of the nurse's role to provide information about tests and procedures. Telling a patient to ask the doctor does not oﬀer immediate support or information, which can be important for patient care and understanding.

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Correct Answer is A

Explanation

Choice A reason: Ice cream is considered a fluid in dietary terms, so not counting it as part of fluid intake shows a misunderstanding.

Choice B reason: Making a list of favorite beverages does not demonstrate understanding of fluid restrictions.

Choice C reason: Putting beverages in large containers does not reffect an understanding of fluid restrictions and could lead to overconsumption.

Choice D reason: Consuming most fluid during the evening could lead to fluid overload overnight, which is not advisable.

A. Diuretic use B. Hypocalcemia C. Family history D. BMI less than 25

Correct Answer is A

Explanation

Choice A reason: Diuretic use, especially thiazide diuretics, can lead to increased calcium in the urine, which is a risk

factor for the development of calcium stones.

Choice B reason: Hypocalcemia is not typically associated with an increased risk of urolithiasis. In fact, hypercalcemia can be a risk factor due to increased calcium excretion.

Choice C reason: A family history of kidney stones is a known risk factor for urolithiasis, as genetic factors can in?uence stone formation.

Choice D reason: A BMI less than 25 is generally not considered a risk factor for urolithiasis; higher BMI levels have been associated with an increased risk.

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A nurse is caring for a client who will have blood sampling for serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

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