A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

BUN 11 mg/dL. serum creatinine 10 mg/dL

BUN 45 mg/dL. serum creatinine 1.0 mg/dL

BUN 35 mg/dL, serum creatinine 8 mg/dL

BUN 10 mg/dL serum creatinine 0.3 mg/dL

Answer and Explanation

The Correct Answer is C

A.   These values are within the normal range and not indicative of chronic kidney disease.
B.   While an elevated BUN is present, the serum creatinine level is within the normal range, which is not consistent with chronic kidney disease.
C.   Both BUN and serum creatinine levels are elevated, indicating impaired kidney function and consistent with chronic kidney disease.
D.   These values are within the normal range and not indicative of chronic kidney disease.

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Correct Answer is D

Explanation

A. Postoperative pain typically resolves after a laparoscopic cholecystectomy since the surgery removes the gallbladder
B. While positioning during surgery can cause discomfort, isolated right shoulder pain is more commonly attributed to the diaphragmatic irritation from residual nitrous oxide in the abdomen.

C. Nitrous dioxide used during laparoscopic procedures is not associated with referred pain to the right shoulder. The pain is due to carbon dioxide gas used during the procedure resulting in the irritation of the diaphragm.
D. This pain is often due to the carbon dioxide used to inflate the abdomen during surgery, which can irritate the diaphragm and refer pain to the shoulder. Ambulation helps to absorb the gas more quickly.

A. "You have orders for morphine 10 to 15 mg I don't think that's enough to end your suffering" B. "That is really not appropriate to ask. Would you like a shot to take away the pain?" C. "Are you sure that is what you want me to do? Maybe you should think about it first." D. "You sound frustrated. It must be difficult to feel so tired all the time."

Correct Answer is D

Explanation

A. This response focuses solely on the adequacy of the medication dosage and does not address the patient's emotional distress.

B. This response dismisses the patient's request and does not address the underlying feelings of suffering.
C. This response does not provide support or explore the patient's feelings further and may come across as judgmental.
D. This response acknowledges the patient's feelings and opens the door for further discussion and exploration of their emotional distress.

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A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A patient with terminal lymphoma says to the nurse, "I'm tired of being so fatigued all the time. Can't you just give me a big shot of morphine and help me end this suffering? Which of the following responses by the nurse is most appropriate?

Correct Answer is D

Explanation

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