A nurse is reviewing the laboratory results for a client who has chronic kidney disease. Which of the following laboratory findings should the nurse expect?
Elevated creatinine.
Decreased urine specific gravity.
Hypokalemia.
Decreased BUN.
The Correct Answer is A
Choice A rationale
Elevated creatinine is a common finding in clients with chronic kidney disease due to decreased renal function and impaired clearance of creatinine from the blood.
Choice B rationale
Decreased urine specific gravity is not typically associated with chronic kidney disease. Clients with chronic kidney disease may have an increased or normal urine specific gravity.
Choice C rationale
Hypokalemia is not a typical finding in chronic kidney disease. Clients with chronic kidney disease are more likely to have hyperkalemia due to impaired renal excretion of potassium.
Choice D rationale
Decreased BUN (blood urea nitrogen) is not expected in chronic kidney disease. Elevated BUN levels are more common due to reduced renal clearance of urea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: Determine the concentration of the available medication. The available concentration is 2 mg/mL.
Step 2: Calculate the volume to be administered. 4 mg ÷ 2 mg/mL = 2 mL The nurse should administer 2 mL.
Correct Answer is D
Explanation
Choice A rationale
While feeling depressed is a significant concern, it is not the highest priority in the context of systemic lupus erythematosus (SLE). Depression should be addressed, but it does not pose an immediate threat to the client’s physical health.
Choice B rationale
Joint pain in hands and knees is a common symptom of SLE but is not the highest priority. It indicates inflammation but does not pose an immediate risk to the client’s overall health.
Choice C rationale
A dry, raised rash on the face, often referred to as a “butterfly rash,” is a characteristic symptom of SLE. However, it is not the highest priority to report as it does not pose an immediate threat.
Choice D rationale
Presence of peripheral edema is the highest priority to report because it can indicate kidney involvement, which is a serious complication of SLE. Kidney damage can lead to significant health issues and requires immediate attention.
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