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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Excessive sweating is a common adverse effect of sertraline, and it is essential for the nurse to educate the client about this potential side effect to enhance medication adherence and manage expectations.
B. Dry cough is not typically associated with sertraline, and its inclusion in the education may confuse the client and undermine the credibility of the nurse's teaching.
C. Increased urinary frequency is not commonly reported with sertraline use; therefore, including it in the client education may lead to misinformation.
D. A metallic taste in the mouth is not a commonly reported adverse effect of sertraline and should not be included in the client education as it may cause unnecessary concern or confusion.
Correct Answer is C
Explanation
A. Flushing the tube with water after feedings helps to prevent tube clogging and ensures adequate delivery of enteral feedings. However, it does not address the diarrhea.
B. While it's important to discard open cans of formula within a specified timeframe to prevent bacterial growth, diarrhea in the client is not directly addressed by discarding formula after 36 hours.
C. The nurse should consider administering feedings at a slower rate to manage diarrhea. This approach can help reduce the incidence of diarrhea as it allows for better absorption of the nutrients.
D. Providing chilled formula is not typically indicated for clients with diarrhea and may not be well-tolerated.
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