A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renalfunction?

C-reactive protein

Serum creatinine

Antinuclear antibody

Erythrocyte sedimentation rate

Answer and Explanation

The Correct Answer is B

a. C-reactive protein: This is a marker of inflammation and is not specific to renal function. It is more commonly used to assess inflammation in various conditions.

b. Serum creatinine: Elevated levels of serum creatinine are indicative of impaired renal

function. Creatinine is a waste product that is normally filtered by the kidneys. Increased levels suggest decreased renal filtration.

c. Antinuclear antibody: This test is used to diagnose autoimmune diseases like SLE but does not directly measure renal function.

d. Erythrocyte sedimentation rate: This is a nonspecific marker of inflammation and is not directly related to renal function.

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Correct Answer is D

Explanation

a. Heart rate 90/min: A heart rate of 90/min is within the normal range, and it is not an abnormal finding postoperatively.

b. Serum potassium 3.7 g/dL: The serum potassium level of 3.7 g/dL is within the normal range, and it is not an abnormal finding postoperatively.

c. Bowel sounds 10/min: Bowel sounds of 10/min are within the normal range and indicate return of bowel function postoperatively.

d. Urine output 48 m/2 hr: A urine output of 48 m/2 hr is less than the expected urine output (30 mL/hr), and it may indicate inadequate renal perfusion or function. This finding should be

reported to the provider.

A. Nausea B. Orthopnea C. Diaphoresis D. Headache E. Tachycardia

Correct Answer is ["A","C","E"]

Explanation

a. Nausea: Nausea is a common symptom of myocardial infarction and can be associated with autonomic nervous system activation.

b. Orthopnea: Orthopnea, difficulty breathing while lying down, is more commonly associated with heart failure, not necessarily myocardial infarction.

c. Diaphoresis: Profuse sweating or diaphoresis is a common manifestation of myocardial infarction due to sympathetic nervous system activation.

d. Headache: Headache is not a typical symptom of myocardial infarction. However, some individuals may experience atypical symptoms.

e. Tachycardia: Tachycardia (rapid heart rate) is a common response to myocardial infarction and can be associated with sympathetic nervous system stimulation in response to decreased cardiac output.

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A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renalfunction?

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