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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Constipation is not typically associated with hypocalcemia.
B. Shortened QT intervals are not characteristic of hypocalcemia; rather, prolongation of QT intervals is more common.
C. Hypoactive deep tendon reflexes, would suggest a decrease in neuromuscular excitability, which is contrary to the increased excitability seen in hypocalcemia. Therefore, hypoactive deep tendon reflexes is more commonly associated with hypercalcemia and not hypocalcemia.
D. Tingling of the extremities is a common symptom of hypocalcemia.
Correct Answer is B
Explanation
A. This intervention is not relevant to diabetes insipidus, which affects water balance rather than glucose levels.
B. Checking urine specific gravity helps assess the concentration of urine, which can be very dilute in diabetes insipidus.
C. Diabetes insipidus is already characterized by excessive urination (polyuria), so administering a diuretic would exacerbate fluid loss.
D. Fluid restrictions are not typically necessary in diabetes insipidus because the primary issue is water loss rather than retention.
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