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

Serum potassium, calcium, and phosphorus.

Erythrocytes, hemoglobin, and hematocrit.

Leukocytes, neutrophils, and thyroxine.

Blood pressure, heart rate, and temperature.

Answer and Explanation

The Correct Answer is A

A. Serum potassium, calcium, and phosphorus: Correct! In end-stage renal disease (ESRD), the kidneys are unable to adequately filter waste products and maintain electrolyte balance.
Monitoring serum potassium, calcium, and phosphorus levels is crucial as imbalances in these
electrolytes are common and can lead to serious complications such as cardiac arrhythmias, bone disorders, and muscle weakness.
B. Erythrocytes, hemoglobin, and hematocrit: While anemia is a common complication of ESRD, monitoring erythrocyte indices (such as erythrocyte count, hemoglobin, and hematocrit) is
important, but it is not specifically related to renal function monitoring.

C. Leukocytes, neutrophils, and thyroxine: Monitoring leukocytes and neutrophils is important for assessing immune function and detecting infections, but it is not directly related to renal
function monitoring in ESRD Thyroxine monitoring is relevant for thyroid function, which is not typically affected by ESRD.
D. Blood pressure, heart rate, and temperature: Monitoring vital signs such as blood pressure,

heart rate, and temperature is important in overall client assessment, but it does not specifically address the need for monitoring electrolyte imbalances associated with ESRD These parameters may be affected by complications of ESRD, but the primary focus in ESRD monitoring is on
renal function and electrolyte balance.

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Free Nursing Study Resources

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

Explanation

A. A low phosphorus diet is not typically indicated for liver cirrhosis; instead, a low sodium diet is usually recommended to manage ascites and edema.
B. Noting signs of swelling and edema is important for monitoring fluid retention, a common complication of cirrhosis.
C. Increasing oral fluid intake is not advised without careful assessment due to the risk of fluid overload and worsening of ascites.
D. Monitoring abdominal girth helps in assessing for ascites and its progression, which is crucial in the management of cirrhosis.
E. Reporting serum albumin and globulin levels is important as these can indicate the synthetic function of the liver and help guide treatment.

A. Note date and time of the behavior. B. Evaluate the UAP for signs of improvement C. Discuss the issue privately with the UAP. D. Plan for scheduled break times

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.

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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 with cirrhosis of the liver is admitted with complications related to end stage liver disease. Which intervention(s) should the nurse implement? (Select all that apply.)

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

Explanation

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

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