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 D

Explanation

A. Replacing the IV site with a smaller gauge does not address the issue of the client picking at the dressing and tape. It is important to address the primary concern, which is the integrity of the abdominal incision dressing.

B. Applying wrist restraints should be avoided unless absolutely necessary due to the risk of physical and psychological harm to the client. It is not the first-line intervention for addressing dressing and tape disruption.

C. Leaving the lights on in the room at night may help reduce confusion in some clients with dementia but does not address the immediate issue of the disrupted abdominal dressing and IV site.

D. Redressing the abdominal incision is the priority intervention to maintain the integrity of the surgical site and prevent infection. It also addresses the issue of the client picking at the dressing and tape, which could lead to further complications.

A. The client will report pain less than 3/10 B. The client will have quit smoking C. The client will remain free of skin breakdown D. The client will maintain oxygen saturation of 96% without supplemental oxygen E. The client will be afebrile for 24 hours

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

Explanation

A. While managing pain is important, the client did not report significant pain, making it a lower priority in this scenario.
B. Quitting smoking is crucial for the client's respiratory health, especially given the history of smoking and current respiratory symptoms.
C. There is no indication that the client is at risk of skin breakdown; thus, it is not a priority in the immediate discharge plan.
D. Maintaining an oxygen saturation of 96% without supplemental oxygen is a direct indicator of improved respiratory function and a key goal for discharge.
E. Being afebrile for 24 hours would indicate that the infection is under control, which is a primary concern for discharge after presenting with flu-like symptoms.

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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

Correct Answer is D

Explanation

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

Explanation

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