A nurse is preparing to perform a diagnostic test to assess kidney function in a client with suspected acute renal failure. Which test will provide information about the glomerular filtration rate (GFR)?
Complete blood count (CBC. .
Serum creatinine level.
Urinalysis.
Renal ultrasound.
The Correct Answer is B
A. Incorrect. A complete blood count (CBC. provides information about the number and types of blood cells but does not assess kidney function.
B. Correct. Serum creatinine level is a commonly used blood test to assess kidney function. Elevated levels of creatinine in the blood indicate impaired glomerular filtration and decreased kidney function.
C. Incorrect. Urinalysis provides information about the presence of substances such as protein, blood, and glucose in the urine but does not directly assess GFR.
D. Incorrect. Renal ultrasound is an imaging test that provides information about the structure of the kidneys but does not directly measure GFR.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Withholding food and drink for 24 hours is not necessary for a CT scan with contrast dye.
B. Correct. Before a CT scan with contrast dye, it is essential to assess the client for allergies, especially to iodine and shellfish. Contrast dyes used in CT scans contain iodine, and clients with allergies to iodine or shellfish may have an allergic reaction to the contrast dye.
C. Incorrect. While administering intravenous fluids may be beneficial in certain situations, it is not a specific precaution for a CT scan with contrast dye.
D. Incorrect. Removing jewelry and metallic objects is a standard precaution for all imaging procedures, but it is not specific to a CT scan with contrast dye.
Correct Answer is B
Explanation
A. Incorrect. Increased heart rate and blood pressure are more commonly associated with metabolic alkalosis, not metabolic acidosis.
B. Correct. Muscle twitching and irritability are common clinical manifestations of metabolic acidosis. Acidosis can lead to an increase in excitability of nerve cells, causing muscle twitching and irritability.
C. Incorrect. Excessive thirst and frequent urination are not typically associated with metabolic acidosis.
D. Incorrect. Warm, flushed skin and headache are not directly related to metabolic acidosis.
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