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 C
Explanation
A. Thinking about the reasons behind the anxiety episodes can be helpful for long-term management, but it may not provide immediate relief during acute episodes of anxiety.
B. While music can be a form of relaxation for some individuals, it may not be as universally effective as muscle relaxation techniques for managing anxiety.
C. Muscle relaxation techniques, such as deep breathing and progressive muscle relaxation, are evidence-based strategies for reducing anxiety levels. They promote relaxation and decrease muscle tension, providing immediate relief during episodes of anxiety.
D. Social interaction can be beneficial for overall well-being, but it may not directly address the symptoms of anxiety in the moment.
Correct Answer is ["B","D","E"]
Explanation
A. Instructing the client and family to reconsider end of life choices may not be appropriate as it could cause additional stress and conflict during a sensitive time.
B. Teaching the client how to use guided imagery can be a helpful tool in managing anxiety and providing a sense of calm.
C. Recording the client's desire to live is important for documentation, but it does not directly assist in coping with feelings related to death and dying.
D. Encouraging family to visit frequently can provide emotional support and comfort to the client during this difficult time.
E. Encouraging family to bring old photographs can help the client reminisce and find joy in memories, which can be therapeutic.
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