A client is placed on fluid restriction because of chronic kidney disease (CKD). Which assessment finding would alert the nurse that the client's fluid balance is stable at this time?

Increased edema in the legs

Decreased calcium levels

No adventitious sounds in the lungs

Increased phosphorus levels

Answer and Explanation

The Correct Answer is C

Rationale:
A. Increased edema in the legs indicates fluid retention, meaning the client’s fluid balance is not stable. Edema is a common sign of volume overload in clients with CKD who are not effectively maintaining fluid restriction.
B. Calcium levels reflect mineral and bone metabolism, not immediate fluid balance. Low calcium is common in CKD due to impaired vitamin D activation but does not indicate fluid stability.
C. The absence of adventitious lung sounds (such as crackles or rales) indicates that fluid has not accumulated in the lungs, suggesting stable fluid balance. In CKD, fluid overload can quickly lead to pulmonary edema, so clear lung sounds are an important clinical indicator that the client is maintaining appropriate fluid levels.
D. Increased phosphorus levels are related to decreased renal excretion of phosphate in CKD but do not reflect fluid balance.

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Correct Answer is ["8"]

Explanation

Step 1: Use the formula
Flow rate (gtt/min) = (Volume to infuse × Drop factor) ÷ (Time in minutes)

Step 2: Insert known values
Volume = 150 mL
Drop factor = 10 gtt/mL
Time = 3 hr × 60 min/hr = 180 min

Flow rate = (150 × 10) ÷ 180
Flow rate = 1,500 ÷ 180
Flow rate ≈ 8.33

Step 3: Round to the nearest whole number
Flow rate ≈ 8 gtt/min

Final Answer: 8 gtt/min

A. BUN 45 mg/dL and creatinine 8 mg/dL B. BUN 8 mg/dL and creatinine 0.7 mg/dL C. BUN 10 mg/dL and creatinine 0.3 mg/dl. D. BUN 23 mg/dL and creatinine 1.0 mg/dL.

Correct Answer is A

Explanation

Rationale:
A. BUN 45 mg/dL and creatinine 8 mg/dL are elevated values and consistent with chronic kidney disease (CKD). In CKD, the kidneys cannot adequately excrete waste products, leading to accumulation of blood urea nitrogen (BUN) and creatinine. These elevated levels indicate significant renal impairment and reduced glomerular filtration rate (GFR).

B. BUN 8 mg/dL and creatinine 0.7 mg/dL are within normal limits (BUN: 7–20 mg/dL; creatinine: 0.6–1.3 mg/dL), suggesting normal kidney function, not CKD.

C. BUN 10 mg/dL and creatinine 0.3 mg/dL show a low creatinine level, which may occur in conditions like low muscle mass or malnutrition but not in kidney disease.

D. BUN 23 mg/dL and creatinine 1.0 mg/dL indicate a slightly elevated BUN with a normal creatinine, which may be seen in mild dehydration or increased protein intake, but not in chronic renal failure, where both values are significantly elevated.

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A client is placed on fluid restriction because of chronic kidney disease (CKD). Which assessment finding would alert the nurse that the client's fluid balance is stable at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["8"]

Explanation

A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

Correct Answer is A

Explanation

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