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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","F"]
Explanation
A. Alcohol consumption can indeed produce vascular changes and contribute to hypertension, making this statement incorrect.
B. Regulating sodium intake by limiting canned foods in the diet is a valid strategy to prevent hypertension.
C. Salt substitutes can be a part of maintaining a healthy diet and may help in reducing sodium intake, which is beneficial for blood pressure control.
D. Weight management through daily walks for thirty minutes is an effective method to prevent hypertension.
E. Blood pressure readings should be taken at various times of the day to assess for fluctuations; noontime is not specifically recommended.
F. Uncontrolled hypertension can indeed lead to renal damage, among other complications, making this a key point for client education.
Correct Answer is B
Explanation
A. Measuring abdominal girth may not directly assess the condition of the suprapubic catheter insertion site.
B. Observing the insertion site is crucial for assessing for signs of infection, inflammation, or other complications related to the suprapubic catheter.
C. Assessing the perineal area may be important for clients with other types of urinary catheters, but it is not directly related to the assessment of a suprapubic catheter.
D. Palpating the flank area may be indicated for assessing kidney function or detecting flank pain, but it is not specific to monitoring a suprapubic catheter.
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