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. 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. Think about reasons the episodes occur. B. Center attention on positive upbeat music. C. Practice using muscle relaxation techniques. D. Find outlets for more social interaction.

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.

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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

The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?

Correct Answer is C

Explanation

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

The nurse is performing a routine assessment of an IV site for a client receiving both IV fluids and medications through the line. The client reports tenderness when the nurse touches the arm above the site. Which finding should the nurse expect which will require immediate intervention?

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