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 ["45"]

Explanation

Desired rate= 3mcg/min

Desired rate per hour= 3mcg60= 180mcg Available dose= 4mg/1000ml 1mg=1000mcg

4mg= 41000=4000mcg

4000mcg=1000ml 180mcg= 1801000/4000

=45 ml/hr

A. Notify the healthcare provider. B. Prepare a continuous heparin infusion per protocol. C. Provide supplemental oxygen. D. Bring the emergency crash cart to the bedside.

Correct Answer is C

Explanation

A. While notifying the healthcare provider is important, the priority is to address the client's immediate physiological needs.
B. Starting a continuous heparin infusion is important in the management of a pulmonary embolus, but providing oxygen is the first priority to ensure adequate oxygenation.

C. Providing supplemental oxygen helps alleviate hypoxia, which is critical in the management of a pulmonary embolus.
D. Bringing the emergency crash cart may be necessary if the client's condition deteriorates, but providing oxygen takes precedence in the initial management.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for norepinephrine 3 mcg/min intravenously (IV). The IV bag is contains norepinephrine 4 mg in dextrose 5% in water (DW) 1,000 ml. How many ml/hour should the nurse program the infusion pump? (Enter numerical value only)

Correct Answer is ["45"]

Explanation

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Correct Answer is C

Explanation

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