In replying to a client's questions about the seriousness of the chronic kidney disease (CKD), the nurse knows that the stage of CKD is based on what?

Serum creatinine and urea levels.

Degree of altered mental status.

Glomerular filtration rate (GFR).

Total daily urine output.

Answer and Explanation

The Correct Answer is C

The glomerular filtration rate is a measure of how effectively the kidneys filter waste and excess fluid from the blood. It is a key indicator of kidney function. CKD is staged based on the GFR, which provides an estimate of the percentage of normal kidney function remaining.

While serum creatinine and urea levels are important markers used to assess kidney function, they are not the sole criteria for staging CKD. The degree of altered mental status and total daily urine output are important clinical observations but are not used for staging CKD.

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Correct Answer is A

Explanation

Glipizide is an oral antidiabetic medication commonly prescribed to manage type 2 diabetes. It works by stimulating the release of insulin from the pancreas, which helps lower blood glucose levels. However, there is a risk of hypoglycemia (low blood sugar) with the use of Glipizide.

It is crucial for the client to be aware of the signs and symptoms of hypoglycemia so that they can take appropriate action if their blood sugar drops too low. These symptoms may include sweating, trembling, dizziness, confusion, weakness, and hunger. By recognizing these signs, the client can promptly address hypoglycemia by consuming a source of fast-acting glucose, such as fruit juice or glucose tablets, as instructed by their healthcare provider.

A. A patient who follows a strict vegetarian diet. B. A patient who is morbidly obese C. A patient who is 6 weeks pregnant. D. A patient who drinks a glass of wine monthly.

Correct Answer is B

Explanation

Excess body weight, particularly in the abdominal area, can increase intra-abdominal pressure and lead to the weakening of the lower esophageal sphincter (LES). The LES is responsible for preventing stomach acid from flowing back into the esophagus. When it becomes weakened, it can contribute to the development of GERD. Other risk factors for GERD include certain dietary choices, such as consuming fatty and spicy foods, smoking, pregnancy, and alcohol consumption.

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In replying to a client's questions about the seriousness of the chronic kidney disease (CKD), the nurse knows that the stage of CKD is based on what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is starting a new prescription for Glipizide, a Sulfonylurea. The educator will be sure to teach the client...

Correct Answer is A

Explanation

The nurse is providing care to several patients in an outpatient clinic. Which patient is at highest risk of developing gastroesophageal reflux disorder (GERD)?

Correct Answer is B

Explanation

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