A nurse is caring for a client who has progressive chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?
Glomerular filtration rate (GFR) increasing
Urine albumin increasing
Proteinuria decreasing, or decreased protein in the urine
Creatinine decreasing
The Correct Answer is B
A. GFR decreases as CKD progresses due to loss of nephron function.
B. Urine albumin increases in CKD due to damage to the glomerular basement membrane, leading to albuminuria, a key marker of worsening kidney function.
C. Proteinuria increases, not decreases, in CKD as the filtering ability of the kidneys declines.
D. Creatinine increases as kidney function worsens and clearance decreases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer antibiotics is appropriate, especially if the glomerulonephritis is related to a recent streptococcal infection, which is a common cause.
B. Frequent ambulation is not a priority; clients often need rest to support renal recovery.
C. Increased fluid intake is typically avoided because fluid restriction is usually necessary to manage edema and hypertension.
D. Weekly weights are insufficient; daily weights are needed to monitor fluid balance accurately.
Correct Answer is C
Explanation
A. "You'll have to ask your doctor" is inappropriate; nurses are responsible for providing accurate patient education within their scope of practice.
B. "We'll find out if any medications, such as steroids..." is misleading; while medications may affect kidney function, the serum creatinine test specifically reflects kidney filtration ability, not drug levels.
C. "This test will tell your doctor how your kidneys are functioning" is the best response, as serum creatinine is a key indicator of renal function.
D. "This test will tell if you have severe renal impairment..." is too limited; while elevated creatinine may suggest severe impairment, it is used more broadly to assess overall kidney function.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.