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 A
Explanation
A. Salicylate intoxication can lead to metabolic acidosis due to the accumulation of salicylic acid, which increases metabolic rate and production of organic acids.
B. Thiazide diuretics can lead to metabolic alkalosis due to the loss of hydrogen and chloride ions.
C. Vomiting can lead to metabolic alkalosis due to the loss of gastric acid.
D. Diarrhea can lead to metabolic acidosis due to the loss of bicarbonate-rich fluids.
Correct Answer is ["B","C","E"]
Explanation
A. Chronic lung disease is not typically identified as a risk factor for developing kidney disease.
B. Hypertension is a significant risk factor for kidney disease as it can damage blood vessels in the kidneys over time.
C. Diabetes, especially when uncontrolled, can lead to diabetic nephropathy, a common cause of kidney disease.
D. Coronary heart disease is primarily related to the cardiovascular system and is not directly associated with kidney disease.
E. Obesity increases the risk of developing kidney disease due to associated conditions such as hypertension and diabetes.
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