A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

BUN 45 mg/dL and creatinine 8 mg/dL

BUN 8 mg/dL and creatinine 0.7 mg/dL

BUN 10 mg/dl and creatinine 0.3 mg/dl

BUN 23 mg/dl and creatinine 1.0 mg/dl

Answer and Explanation

The Correct Answer is A

A.   These values indicate elevated BUN (blood urea nitrogen) and creatinine levels indicating impaired kidney function, typical findings in chronic kidney disease.
B.   These are the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
C.   These values are within the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
D.   These are normal BUN and creatinine levels and are not indicative of chronic kidney disease.

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

Explanation

A. Chronic lung disease is not typically identified as a risk factor for developing kidney disease.
B. Hypertension is a significant risk factor for kidney disease as it can damage blood vessels in the kidneys over time.
C. Diabetes, especially when uncontrolled, can lead to diabetic nephropathy, a common cause of kidney disease.
D. Coronary heart disease is primarily related to the cardiovascular system and is not directly associated with kidney disease.
E. Obesity increases the risk of developing kidney disease due to associated conditions such as hypertension and diabetes.

A. Have the client place their head between their knees. B. Have the client breath into a paper bag. C. Plan to administer sodium bicarbonate to the client D. Plan to administer insulin to the client

Correct Answer is B

Explanation

A. Having the client place their head between their knees is a measure used to alleviate symptoms associated with hyperventilation but does not directly address the underlying respiratory alkalosis.
B. Having the client breathe into a paper bag helps retain carbon dioxide, which can help reverse respiratory alkalosis by increasing PaCO2 levels and subsequently decreasing pH.
C. Administering sodium bicarbonate would worsen alkalosis by further increasing the pH and bicarbonate levels.
D. Administering insulin is not indicated for respiratory alkalosis and hyperventilation.

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A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primary care nurse is reviewing the medical history of a client. Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?

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

Explanation

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Correct Answer is B

Explanation

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