A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

BUN 45 mg/dL and creatinine 8 mg/dL

BUN 8 mg/dL and creatinine 0.7 mg/dL

BUN 10 mg/dl and creatinine 0.3 mg/dl

BUN 23 mg/dl and creatinine 1.0 mg/dl

Answer and Explanation

The Correct Answer is A

A.   These values indicate elevated BUN (blood urea nitrogen) and creatinine levels indicating impaired kidney function, typical findings in chronic kidney disease.
B.   These are the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
C.   These values are within the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
D.   These are normal BUN and creatinine levels and are not indicative of chronic kidney disease.

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Correct Answer is B

Explanation

A. While electrolyte imbalances can occur in nephrotic syndrome, hypomagnesemia is not typically associated with corticosteroid therapy.
B. Corticosteroid therapy can lead to increased urinary potassium loss and subsequent hypokalemia.
C. Corticosteroid therapy is not typically associated with hyperkalemia.
D. Hypermagnesemia is not typically associated with nephrotic syndrome or corticosteroid therapy.

A. Pathologic fractures B. Impaired skin integrity C. Fluid retention D. Dysphagia

Correct Answer is A

Explanation

A. Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
B. This is not directly associated with hyperparathyroidism.
C. Hyperparathyroidism typically leads to hypercalcemia, which can result in polyuria and dehydration rather than fluid retention.
D. This is not directly associated with hyperparathyroidism.

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A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?

Correct Answer is A

Explanation

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