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 B
Explanation
A. Kernig's sign is a test for meningitis and is not related to the tingling sensation described by the client.
B. Chvostek's sign is a clinical sign of hypocalcemia, which can occur post-thyroidectomy due to inadvertent damage or removal of the parathyroid glands.
C. Babinski's sign is a test for upper motor neuron lesions and is not related to the tingling sensation described by the client.
D. Brudzinski's sign is a test for meningitis and is not related to the tingling sensation described by the client.

Correct Answer is B
Explanation
A. Elevated PaCO2 would be seen in respiratory acidosis, not metabolic acidosis.
B. Metabolic acidosis is characterized by a decreased pH.
C. This result would indicate metabolic alkalosis, not metabolic acidosis.
D. This result would indicate hypoxemia but is not specific to metabolic acidosis.
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