A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?

Increased bicarbonate

Increased calcium

Increased hemoglobin

Increased creatinine

Answer and Explanation

The Correct Answer is D

A.   Chronic kidney disease often results in metabolic acidosis, leading to decreased bicarbonate levels rather than increased.
B.   Chronic kidney disease commonly leads to hyperphosphatemia and hypocalcemia due to impaired renal excretion of phosphate and decreased activation of vitamin D, resulting in decreased calcium levels.
C.   Chronic kidney disease often results in anemia due to decreased production of erythropoietin, leading to decreased hemoglobin levels rather than increased.
D.   Increased creatinine levels are indicative of impaired renal function, a hallmark of chronic kidney disease.

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Correct Answer is B

Explanation

A. While maintaining eye contact during feedings can foster bonding and comfort, it is not specifically beneficial for managing symptoms of neonatal abstinence syndrome (NAS).
B. Minimizing noise in the newborn's environment is crucial for a baby with NAS. These infants often have increased sensitivity to stimulation and can become easily agitated. A quiet, calming environment can help soothe them.
C. Administering naloxone to a newborn with NAS is not recommended. Naloxone is an opioid antagonist and, while it can reverse opioid effects acutely, it is not a treatment for the withdrawal symptoms associated with NAS.
D. Swaddling the newborn is beneficial, but the legs should not be extended.

Swaddling should allow for some movement of the legs and hips to prevent the development of hip dysplasia. Swaddling in a way that allows the legs to bend and move is generally recommended.

A. "Take your temperature immediately after waking and before getting out of bed." B. "Take your temperature 1 hour after getting out of bed." C. "Take your temperature every night before going to bed." D. "Take your temperature within 30 minutes after your first morning void."

Correct Answer is A

Explanation

A. Basal body temperature should be measured immediately upon waking and before any physical activity to ensure accuracy in detecting the slight temperature rise after ovulation.
B. Temperature taken after getting out of bed may not accurately reflect the basal body temperature.
C. Basal body temperature is best measured in the morning.

D. The timing here still allows for too much activity before measuring temperature, which can affect the reading.

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A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?

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