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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Abdominal distention. Distention is more indicative of a paralytic ileus or gas buildup, not return of peristalsis.

B. Request for a cup of tea and some toast. While appetite may return as peristalsis resumes, it is not a definitive sign.

C. Hypoactive bowel sounds in two quadrants. Hypoactive sounds suggest minimal bowel activity, not full peristalsis.

D. Passage of flatus. Passing gas is a key sign that peristalsis is returning postoperatively.

A. Wear an adult diaper. B. Avoid voiding frequently C. Perform pelvic floor exercises D. Drink cranberry juice.

Correct Answer is C

Explanation

A. Wear an adult diaper. This is a temporary solution, not a treatment. The goal is to strengthen pelvic muscles rather than rely on absorbent products.

B. Avoid voiding frequently. Timed voiding may help prevent accidents, but holding urine longer can worsen incontinence.

C. Perform pelvic floor exercises. Kegel exercises strengthen pelvic floor muscles, improving bladder control and reducing urine leakage.

D. Drink cranberry juice. Cranberry juice is sometimes used to prevent UTIs, but it does not treat stress incontinence.

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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?

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Naxlex Comprehensive Predictor Exams

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