A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?

Increased bicarbonate

Increased calcium

Increased hemoglobin

Increased creatinine

Answer and Explanation

The Correct Answer is D

A.   Chronic kidney disease often results in metabolic acidosis, leading to decreased bicarbonate levels rather than increased.
B.   Chronic kidney disease commonly leads to hyperphosphatemia and hypocalcemia due to impaired renal excretion of phosphate and decreased activation of vitamin D, resulting in decreased calcium levels.
C.   Chronic kidney disease often results in anemia due to decreased production of erythropoietin, leading to decreased hemoglobin levels rather than increased.
D.   Increased creatinine levels are indicative of impaired renal function, a hallmark of chronic kidney disease.

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Correct Answer is C

Explanation

A. While metronidazole is an antimicrobial medication, it does not pose a significant biohazard risk, and standard precautions for medication spills would suffice.

B. Ampicillin sodium is an antibiotic medication and does not pose a significant biohazard risk, and standard precautions for medication spills would suffice.
C. Doxorubicin hydrochloride is a cytotoxic chemotherapy medication that poses a significant biohazard risk due to its potential carcinogenic and mutagenic properties. Specific facility procedures for handling cytotoxic spills should be followed.
D. Phenytoin is an antiepileptic medication and does not pose a significant biohazard risk, and standard precautions for medication spills would suffice.

A. "Use a cane when walking to maintain your balance." B. "Engage in a rigorous exercise program to maintain muscle tone." C. "Plan to take a hot bath once a week to reduce stress." D. "Place a scatter rug in your bathroom to prevent failing."

Correct Answer is A

Explanation

A. Encouraging the use of assistive devices like canes can help improve stability and prevent falls in individuals with multiple sclerosis who may experience balance issues. This statement promotes safety and independence in mobility.
B. While exercise is beneficial for individuals with multiple sclerosis, recommending a rigorous program may not be appropriate initially and could potentially exacerbate symptoms.
C. Hot baths can exacerbate symptoms in individuals with multiple sclerosis due to heat sensitivity, so this advice may not be suitable.
D. Scatter rugs can pose a tripping hazard, especially for individuals with mobility issues, so this statement is incorrect and may increase the risk of falls.

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A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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