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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Pruritus, or severe itching, is a common symptom in patients with ESRD due to the build-up of waste products in the body.
Choice B reason: Slurred speech is not typically associated with ESRD. It may be a symptom of other neurological conditions or could be related to medications or treatments.
Choice C reason: Hypotension can be an expected finding in ESRD due to the fluid shifts and changes in blood volume
that occur during dialysis treatment.
Choice D reason: Bone pain is a known complication of ESRD, often resulting from the mineral and bone disorders that are part of chronic kidney disease-mineral and bone disorder (CKD-MBD).
Choice E reason: Bradypnea, or abnormally slow breathing, may occur in ESRD as a result of metabolic changes affecting the respiratory system.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Asparagus is not typically high in potassium and does not need to be avoided by clients with chronic
kidney disease.
Choice B reason: Raisins are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.
Choice C reason: Bananas are known to be high in potassium and should be limited or avoided in clients with chronic kidney disease.
Choice D reason: Tomatoes and tomato products are high in potassium and should be avoided to maintain safe
potassium levels.
Choice E reason: Green beans are not considered high in potassium and do not typically need to be avoided by clients with chronic kidney disease.
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