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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Orange, could also indicate dehydration, but it may also be caused by certain medications or foods, so it is not as specific as dark amber for dehydration.
B. Smoky urine is often associated with blood in the urine, which can result from various conditions but is not specific to dehydration.
C. Dehydration occurs when the body loses more fluids than it takes in, leading to a higher concentration of waste products in the urine, which gives it a dark amber color. This is because with less water to dilute them, the naturally occurring minerals and chemicals in the urine become more concentrated.
D. Green urine is not typically associated with dehydration and may indicate other underlying conditions or the presence of certain medications or foods.
Correct Answer is D
Explanation
A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.
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