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 A

Explanation

A. "Take the medication with a full glass of water." Docusate is a stool softener that works best when taken with plenty of fluids.

B. "Expect abdominal pain with this medication." Docusate should not cause abdominal pain; if it does, it should be discontinued.

C. "Take this medication on an empty stomach." Docusate can be taken with or without food.

D. "Do not take this medication before bedtime." It is often recommended before bedtime to work overnight.

A. Intravenous pyelogram B. Cystoscopy C. Mid-stream urinalysis D. Bladder scan

Correct Answer is A

Explanation

A. Intravenous pyelogram: IVP is a specialized X-ray with contrast dye that visualizes the kidneys, ureters, and bladder, helping detect kidney stones, obstructions, or abnormalities. Calcium phosphate crystals suggest nephrolithiasis (kidney stones).

B. Cystoscopy examines the bladder and urethra, but it does not visualize the kidneys or ureters, where stones typically originate.

C. Mid-stream urinalysis alone does not confirm kidney stones, though it may show hematuria, infection, or crystal types.

D. Bladder scan assesses urinary retention or post-void residual volume, not kidney stones.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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