A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of untreated chronic kidney disease?

Potassium 3.3 mEq/L. hemoglobin 14.1 g/dL, creatinine 0.8 mg/dL

BUN 5 mg/dL, potassium 4.8 mEq/L, creatinine 0.9 mg/dL

Potassium 5.4 mEq/L. hemoglobin 9.8 g/dL, creatinine 4.6 mg/dl.

Potassium 4.5 mEq/L, BUN 18 mg/dL, creatinine 1.1 mg/dL

Answer and Explanation

The Correct Answer is C

A.   These values are within normal ranges.
B.   BUN is low, but potassium and creatinine are within normal ranges.
C.   Elevated potassium (hyperkalemia), low hemoglobin (anemia), and elevated creatinine are all classic signs of chronic kidney disease.
D.   BUN and creatinine are slightly elevated, but not to a level indicative of chronic kidney disease. Potassium is within normal range.

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Correct Answer is B

Explanation

A. Patients with PKD may have issues with kidney function over time, which can affect potassium levels. Typically, a high-potassium diet is not recommended for those with kidney problems because it can exacerbate hyperkalemia.
B. Polycystic kidney disease can lead to progressive loss of kidney function, and many patients eventually require dialysis or a kidney transplant as the disease advances and kidney function declines.

C. There is no general recommendation for a vasectomy solely based on having PKD. While PKD is a genetic condition, and individuals with PKD can pass the condition on to their children, there is no requirement for men with PKD to undergo sterilization.
D. People with PKD are potential candidates for kidney transplantation if their kidney function deteriorates to the point where dialysis is required. PKD itself does not disqualify individuals from receiving a kidney transplant.

A. Controlled hypertension B. Alcohol abuse 3 years ago C. Refractory cardiovascular disease D. Hepatitis C infection

Correct Answer is C

Explanation

Hypertension is a risk factor for kidney disease. However, it can often be managed with medication. Controlled hypertension is not typically a contraindication for a kidney transplant.
B. If the client has maintained sobriety for a significant period, it might not be a contraindication. A history of alcohol abuse would require careful evaluation but doesn't necessarily preclude transplantation.
C. This is a contraindication for kidney transplantation. Severe heart disease can significantly increase the risks associated with surgery and post-transplant care.
D. Hepatitis C can be a challenge but it's not an absolute contraindication. Many transplant centers have protocols for managing hepatitis C-positive recipients.

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A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of untreated chronic kidney disease?

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Naxlex Comprehensive Predictor Exams

The nurse is providing education to a male client who is newly-diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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