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 A

Explanation

A. A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
B. This amount of urine output over 24 hours is within normal range and does not typically warrant immediate notification unless there are other concerning symptoms.
C. Cloudy urine may indicate the presence of urinary tract infection or other issues, but it alone may not require immediate notification of the provider.
D. While strong-smelling urine can be indicative of various conditions, it alone may not necessitate immediate provider notification unless accompanied by other concerning symptoms.

A. "It is caused by the lack of production of insulin by the pancreas.." B. "It is caused by the overproduction of growth hormone by the pituitary gland." C. "It is caused by the overproduction of parathormone by the parathyroid gland." D. "It is caused by the lack of production of aldosterone by the adrenal gland."

Correct Answer is D

Explanation

A. This statement describes the cause of diabetes mellitus, not Addison's disease.

B. This statement describes the cause of acromegaly, not Addison's disease.

C. This statement describes the cause of hyperparathyroidism, not Addison's disease.

D. This is the correct explanation of the cause of Addison's disease, which involves adrenal insufficiency.

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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 impaired renal function. For which of the following findings should the nurse notify the provider?

Correct Answer is A

Explanation

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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