Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

Serum potassium, calcium, and phosphorus.

Erythrocytes, hemoglobin, and hematocrit.

Leukocytes, neutrophils, and thyroxine.

Blood pressure, heart rate, and temperature.

Answer and Explanation

The Correct Answer is A

A. Serum potassium, calcium, and phosphorus: Correct! In end-stage renal disease (ESRD), the kidneys are unable to adequately filter waste products and maintain electrolyte balance.
Monitoring serum potassium, calcium, and phosphorus levels is crucial as imbalances in these
electrolytes are common and can lead to serious complications such as cardiac arrhythmias, bone disorders, and muscle weakness.
B. Erythrocytes, hemoglobin, and hematocrit: While anemia is a common complication of ESRD, monitoring erythrocyte indices (such as erythrocyte count, hemoglobin, and hematocrit) is
important, but it is not specifically related to renal function monitoring.

C. Leukocytes, neutrophils, and thyroxine: Monitoring leukocytes and neutrophils is important for assessing immune function and detecting infections, but it is not directly related to renal
function monitoring in ESRD Thyroxine monitoring is relevant for thyroid function, which is not typically affected by ESRD.
D. Blood pressure, heart rate, and temperature: Monitoring vital signs such as blood pressure,

heart rate, and temperature is important in overall client assessment, but it does not specifically address the need for monitoring electrolyte imbalances associated with ESRD These parameters may be affected by complications of ESRD, but the primary focus in ESRD monitoring is on
renal function and electrolyte balance.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Quiet, calm surroundings may be beneficial for clients recovering from various conditions, but it's not specifically significant for osteomalacia.
B. Stimulating sounds and activity are not directly related to the care of a client with osteomalacia.
C. Cool, moist air is not a significant factor in planning care for osteomalacia.

D. Adequate sunlight exposure is crucial for the synthesis of vitamin D, which is essential for calcium absorption and bone health. Therefore, ensuring the client receives adequate sunlight exposure is the most significant environmental factor for someone with osteomalacia

Correct Answer is ["5.6"]

Explanation

Convert pounds to kg 1kg= 2.2 pounds 132pounds= 132/2.2=60kg

Desired dose per minute= 5 mcg/kg= 560=300mcg/min Desired dose per hour= 300mcg60mins= 18000mcg Available dose= 1600mg/500ml

1mg=1000mcg

Available dose = 1600000mcg/500ml Infusion rate:

1600000mcg=500ml 18000mcg=18000500/1600000

= 5.625 mL/hour

Rounded to the nearest tenth:5.6 ml/hour

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Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which environmental factor is most significant when planning care for a client with osteomalacia?

Correct Answer is D

Explanation

Correct Answer is ["5.6"]

Explanation

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