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 D

Explanation

A. Securing the chest tube to the stretcher is important, but not the most critical action as it does not directly affect the function of the chest tube during transport.
B. Administering pain medication is important for comfort but is not the most immediate concern during urgent transport for a CT scan.

C. Marking the amount of chest drainage is a routine monitoring action and can be done before or after transport, thus not the most critical action.
D. Keeping the chest tube container below the site of insertion is crucial to maintain proper
drainage by gravity and prevent complications such as tension pneumothorax, which can be life- threatening.

A. Advise the client to place one nitroglycerin tablet under his tongue as a precaution. B. Tell the client to have someone bring him to an emergency department immediately. C. Instruct the client to increase his intake of oral fluids until the skin flushing is relieved. D. Reassure the client that skin flushing is a common side effect of the medication.

Correct Answer is D

Explanation

- A: Nitroglycerin is contraindicated with tadalafil due to the risk of severe hypotension. Advising the client to take nitroglycerin could lead to a dangerous drop in blood pressure.
- B: While it is important to monitor for serious side effects, immediate emergency department care may not be necessary if the client is not experiencing chest pain or other severe symptoms.
- C: Increasing oral fluids does not address the underlying cause of the skin flushing and is not a recommended action for this symptom in relation to tadalafil use.
- D: Skin flushing is a common side effect of tadalafil and is usually self-limiting. Reassuring the client about the nature of this side effect is appropriate, as long as the client is not experiencing chest pain or other severe symptoms related to his history of stable angina.

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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 is being urgently transported to radiology for a Computerized Tomography (CT scan) after a sudden decrease in level of consciousness. The client is orally intubated and has a left lateral chest tube to 20 cm suction. Which action is most important for the nurse to take?

Correct Answer is D

Explanation

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

Correct Answer is D

Explanation

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