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 D
Explanation
Choice A reason: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.
Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.
Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.
Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.
Correct Answer is B
Explanation
Choice A reason: Pancreatic cysts can be associated with PKD but are not typically linked with severe headaches.
Choice B reason: Cerebral aneurysms are a known complication of PKD and can present with severe headaches if they leak or rupture.
Choice C reason: Renal calculi, or kidney stones, can cause pain but are not typically associated with headaches.
Choice D reason: Diverticulitis is a condition of the colon and would not be expected to cause headaches.
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