A nurse is reviewing the laboratory values of a client who has chronic glomerulonephritis. Which of the following is an expected finding for this client?
RBC 4.9 mm3
Serum potassium 4.0 mEq/L
Serum creatinine 0.8 mg/dL
BUN 100 mg/dL
The Correct Answer is D
A. RBC 4.9 mm³: Chronic glomerulonephritis often leads to anemia due to decreased erythropoietin production, so a normal RBC count is unexpected.
B. Serum potassium 4.0 mEq/L : Kidney disease often leads to hyperkalemia (K⁺ >5.0 mEq/L) due to impaired potassium excretion.
C. Serum creatinine 0.8 mg/Dl: Chronic kidney disease results in increased creatinine levels (>1.3 mg/dL) due to reduced glomerular filtration.
D. BUN 100 mg/dL: BUN (Blood Urea Nitrogen) is elevated in kidney dysfunction. Normal BUN is 6–20 mg/dL, and a BUN of 100 mg/dL suggests severe renal impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Continuous output from the stoma. Ileostomies typically have continuous liquid output, which is expected.
B. Presence of blood in the stool: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.
C. Malodorous stool. While foul-smelling stool can suggest an issue (e.g., infection), it is not necessarily an emergency.
D. Liquid consistency with hard stool particles. Ileostomy output is expected to be liquid, and occasional solid particles may occur if certain foods are not fully digested.
Correct Answer is B
Explanation
A. "I can prepare refried beans for supper." Refried beans are high in fiber and would not be appropriate for a low-fiber diet.
B. "I should choose white rice as a side dish." White rice is low in fiber and easily digestible, making it a good choice for a low-fiber diet.
C. "A fresh pear would be a good snack option." Fresh pears contain high amounts of fiber, particularly in the skin, making them unsuitable for a low-fiber diet.
D. "Bran cereal would be a good breakfast choice." Bran cereal is very high in fiber and would not be appropriate for a low-fiber diet.
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