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. Positioning the client over an overbed table is not appropriate for a paracentesis procedure and may interfere with the procedure.
B. Emptying the bladder before the procedure helps to reduce the risk of accidental bladder puncture during paracentesis.
C. Administering IV fluids prior to the procedure is not typically indicated for a paracentesis, unless specifically ordered by the provider for hydration purposes.
D. NPO status is not typically required before a paracentesis procedure unless otherwise specified by the provider.

A. Hold hand flat to perform percussions on the child. B. Perform the procedure twice each day. C. Perform the procedure prior to meals. D. Administer a bronchodilator after the procedure.

Correct Answer is C

Explanation

A: Percussion should be performed with a cupped hand to provide effective airway clearance, not with a flat hand.
B: Postural drainage is typically performed multiple times per day to help clear secretions from the lungs in cystic fibrosis.
C: Postural drainage is often performed before meals to minimize the risk of vomiting due to manipulation of the abdomen.
D: Bronchodilators are not typically administered after postural drainage; they are used to help open the airways before the procedure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is scheduled to have a paracentesis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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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