A nurse is preparing to obtain a daily weight from a client who has chronic kidney disease. Which of the following actions should the nurse implement?

Obtain the weight each day at a time most convenient for the client.

Weigh the client after at the same time.

Balance the scale at minus two before weighing the client

Use any available scale to weigh the client.

Answer and Explanation

The Correct Answer is B

A. Weighing at a convenient time can lead to inconsistent results; accuracy depends on consistency.
B. Weighing the client at the same time each day (preferably in the morning, after voiding and before eating) ensures accurate monitoring of fluid status.
C. Balancing the scale at minus two is incorrect and could lead to inaccurate weights.
D. Using different scales can produce variations in measurements; the same scale should be used daily.

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Correct Answer is B

Explanation

A. Sodium 135 mEq/L and potassium 3.7 mEq/L are within normal limits, so this client is stable.
B. Sodium 110 mEq/L (hyponatremia) and potassium 2.0 mEq/L (hypokalemia) are critically abnormal values and can lead to serious complications such as seizures, cardiac arrhythmias, and muscle weakness. This client requires immediate assessment and intervention.
C. Mild pain from urolithiasis is concerning but not as urgent as electrolyte imbalances.
D. Pinkish mucus discharge in an ileal conduit is expected and generally not urgent unless accompanied by other signs of infection.

A. Phosphate B. Hemoglobin level C. Creatinine D. Potassium

Correct Answer is B

Explanation

A. Phosphate levels typically increase in chronic kidney disease due to impaired excretion.
B. Hemoglobin level decreases because the damaged kidneys produce less erythropoietin, leading to anemia.
C. Creatinine levels increase as renal function declines.
D. Potassium tends to increase due to reduced excretion by the kidneys.

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A nurse is preparing to obtain a daily weight from a client who has chronic kidney disease. Which of the following actions should the nurse implement?

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