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 C

Explanation

A. Transdermal nicotine patches should be applied immediately after removal from the protective pouch, but waiting for up to 1 hour is acceptable according to most manufacturers' instructions.
B. Shaving hairy areas of skin is not necessary prior to applying a transdermal nicotine patch and may cause skin irritation.
C. Wearing gloves during the application of the transdermal nicotine patch helps to prevent nicotine absorption through the nurse's skin and reduces the risk of accidental exposure.
D. The nurse should properly dispose of the previous patch according to facility protocols rather than placing it in a tissue, as used nicotine patches can still contain active medication and pose a risk of exposure.

A. "Make the child NPO before the procedure." B. "Ensure the child's hair is clean and without conditioner before the procedure." C. "Keep the child out of the sun for 4 hr following the procedure." D. "Give the child acetaminophen for pain following the procedure."

Correct Answer is B

Explanation

A. Making the child NPO is not necessary for an EEG procedure.

B. Ensuring the child's hair is clean and without conditioner helps to optimize the quality of the EEG recording by reducing interference from oils and residues on the scalp.
C. There is no need to restrict the child from sun exposure following an EEG procedure.
D. Acetaminophen is not typically indicated for pain relief following an EEG procedure, as it is non-invasive and generally well-tolerated.

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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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Naxlex Comprehensive Predictor Exams

A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is teaching the parents of a child who has a new onset of seizures and is to undergo an electroencephalogram (EEG) about the procedure. Which of the following instructions should the nurse include in teaching?

Correct Answer is B

Explanation

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