A nurse is reviewing the laboratory values of a client who has chronic glomerulonephritis. Which of the following is an expected finding for this client?

RBC 4.9 mm3

Serum potassium 4.0 mEq/L

Serum creatinine 0.8 mg/dL

BUN 100 mg/dL

Answer and Explanation

The Correct Answer is D

A. RBC 4.9 mm³: Chronic glomerulonephritis often leads to anemia due to decreased erythropoietin production, so a normal RBC count is unexpected.

B. Serum potassium 4.0 mEq/L : Kidney disease often leads to hyperkalemia (K⁺ >5.0 mEq/L) due to impaired potassium excretion.

C. Serum creatinine 0.8 mg/Dl: Chronic kidney disease results in increased creatinine levels (>1.3 mg/dL) due to reduced glomerular filtration.

D. BUN 100 mg/dL: BUN (Blood Urea Nitrogen) is elevated in kidney dysfunction. Normal BUN is 6–20 mg/dL, and a BUN of 100 mg/dL suggests severe renal impairment.

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Correct Answer is B

Explanation

A. 28 units: This would be an incorrect dosage. The correct total is 6 + 10 = 14 units.

B. 14 units: This number does not match the prescribed total dosage.

C. 42 units: This is an excessive dose and not the sum of the prescribed amounts.

D. 16 units: The total number of insulin units is 6 units of regular insulin + 10 units of NPH insulin = 16 units.

A. "You should limit fluids in the evening." B. "Your provider might prescribe anticholinergic medications." C. "You might require an anterior vaginal repair" D. "You should restrict your intake of caffeine E. "You might require intermittent urinary catheterization."

Correct Answer is ["A","B","D"]

Explanation

A. "You should limit fluids in the evening." Helps reduce nighttime urinary urgency.

B. "Your provider might prescribe anticholinergic medications." Anticholinergics like oxybutynin reduce bladder contractions, decreasing urgency.

C. "You might require an anterior vaginal repair." More commonly done for stress incontinence, not urge incontinence.

D. "You should restrict your intake of caffeine." Caffeine is a bladder irritant and increases urinary urgency.

E. "You might require intermittent urinary catheterization." Not necessary unless the client has urinary retention, which is not typical for urge incontinence.

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A nurse is reviewing the laboratory values of a client who has chronic glomerulonephritis. Which of the following is an expected finding for this client?

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