Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

Blood pressure, heart rate, and temperature.

Leukocytes, neutrophils, and thyroxine.

Serum potassium, calcium, and phosphorus.

Erythrocytes, hemoglobin, and hematocrit.

Answer and Explanation

The Correct Answer is C

A. While monitoring blood pressure, heart rate, and temperature is important for overall health assessment, they are not specifically indicative of end-stage renal disease (ESRD).
B. Leukocytes, neutrophils, and thyroxine are not directly related to renal function or the complications of ESRD.
C. Clients with ESRD are at risk for electrolyte imbalances, including hyperkalemia, hypocalcemia, and hyperphosphatemia, so monitoring serum potassium, calcium, and phosphorus levels is crucial.
D. Monitoring erythrocytes, hemoglobin, and hematocrit levels is important for assessing
anemia, which is common in ESRD, but it's not the most critical parameter to monitor compared to electrolyte imbalances.

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

Explanation

Salt substitutes can be used in moderation to help reduce sodium intake, which is beneficial for controlling blood pressure, a key aspect of managing coronary artery disease (CAD).

B. Eat more canned vegetables - Canned vegetables can be high in sodium, which is not recommended for clients with coronary artery disease as it can contribute to hypertension and further heart strain.

C. Include oatmeal for breakfast - This is a recommended practice as oatmeal is high in soluble fiber, which can help lower cholesterol levels.

D. Consume foods with saturated fats - Saturated fats can increase the level of bad cholesterol in the blood, contributing to the progression of coronary artery disease, thus not recommended.

E. Walk 30 minutes per day - This is a recommended practice as regular physical activity can help manage weight, lower cholesterol, and reduce blood pressure.

A. Center attention on positive upbeat music. B. Find outlets for more social interaction. C. Practice using muscle relaxation techniques. D. Think about reasons the episodes occur.

Correct Answer is C

Explanation

A. Center attention on positive upbeat music . While positive music can be helpful for some individuals in managing anxiety, it may not be effective for everyone, especially those experiencing moderate anxiety.

B. Find outlets for more social interaction: Increasing social interaction may be beneficial for managing anxiety for some individuals, but it may not address the underlying issues contributing to recurrent moderate anxiety.

C. Practice using muscle relaxation techniques: Muscle relaxation techniques, such as progressive muscle relaxation or deep breathing exercises, can help reduce physical tension and promote relaxation, which can be effective in managing anxiety symptoms.

D. Think about reasons the episodes occur: While understanding triggers for anxiety episodes is important, simply thinking about the reasons may not provide immediate relief or effective coping strategies for managing anxiety symptoms.

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Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

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Naxlex Comprehensive Predictor Exams

The nurse is providing lifestyle change education for a client to slow the progression of coronary artery disease. Which statements by the client should the nurse recognize as needing additional education? (Select at that apply)

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

Explanation

The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?

Correct Answer is C

Explanation

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