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 B
Explanation
Choice A reason: Back pain is a physical symptom of UTIs, not a psychosocial effect.
Choice B reason: Missing out on normal social activities like atending grandchildren's school events indicates a psychosocial impact from frequent UTIs.
Choice C reason: Needing to be close to a bathroom is a practical concern due to the physical symptoms of UTIs, not a psychosocial effect.
Choice D reason: Nausea and vomiting are physical symptoms of UTIs and do not directly indicate a psychosocial effect.
Correct Answer is B
Explanation
Choice A reason: A high calcium diet and high blood calcium levels are not directly related to pyelonephritis.
Choice B reason: Recurrent UTIs can lead to pyelonephritis, especially if the infections ascend to the kidneys.
Choice C reason: Long-term use of ibuprofen can affect kidney function but is not a direct cause of pyelonephritis.
Choice D reason: Genetic diseases can affect kidney health, but there is no common genetic disease that directly causes pyelonephritis.
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