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 C,A,D,B

Explanation

C. Discussing the issue privately with the UAP is the first step as it directly addresses the behavior, provides an opportunity for immediate feedback, and allows the UAP to explain their actions.

A. Noting the date and time of the behavior is important for documentation and future reference but follows the initial discussion to ensure accurate recording of events.

D. Planning for scheduled break times may prevent future occurrences by providing clear expectations and structure for the UAP's work schedule.

B. Evaluating the UAP for signs of improvement would be the last step after the above interventions have been implemented to assess their effectiveness and the UAP's adherence to the expected behavior.

A. Provide bedside equipment for transmission and protective precautions. B. Evaluate daily serum electrolytes and hydration status. C. Culture sputum, urine, burn wound, and all intravenous access sites. D. Implement central line-associated bloodstream infection.

Correct Answer is C

Explanation

A. Provide bedside equipment for transmission and protective precautions: While infection control precautions are important, obtaining cultures to identify the source of infection and guide treatment is the priority in this scenario.

B. Evaluate daily serum electrolytes and hydration status: While monitoring electrolytes and hydration is important in critically ill patients, it is not the priority in this situation where the client is presenting with signs of systemic infection.

C. Culture sputum, urine, burn wound, and all intravenous access sites: The priority is to obtain cultures to identify the source of infection, which will guide antibiotic therapy and other

interventions.

D. Implement central line-associated bloodstream infection: While preventing central line- associated bloodstream infection is important, it is not the priority in this situation where the client is presenting with signs of systemic infection.

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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

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Correct Answer is C,A,D,B

Explanation

Correct Answer is C

Explanation

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