Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?
A. BUN 45 mg/dL and creatinine 8 mg/dL
These values indicate elevated BUN (blood urea nitrogen) and creatinine levels indicating impaired kidney function, typical findings in chronic kidney disease.
B. BUN 8 mg/dL and creatinine 0.7 mg/dL
These are the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
C. BUN 10 mg/dl and creatinine 0.3 mg/dl
These values are within the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
D. BUN 23 mg/dl and creatinine 1.0 mg/dl
These are normal BUN and creatinine levels and are not indicative of chronic kidney disease.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Med Surg Proctored Exam 8. Take the full exam now
Full Explanation
A. These values indicate elevated BUN (blood urea nitrogen) and creatinine levels indicating impaired kidney function, typical findings in chronic kidney disease.
B. These are the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
C. These values are within the normal BUN and creatinine levels hence are not indicative of chronic kidney disease.
D. These are normal BUN and creatinine levels and are not indicative of chronic kidney disease.
Similar Questions
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
A. Lethargy
Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B. Photophobia
Photophobia is not typically associated with hypothyroidism.
C. Weight loss
Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D. Exophthalmos
Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.
Full Explanation
A. Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B. Photophobia is not typically associated with hypothyroidism.
C. Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D. Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.
A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?
A. A client who has a calcium of 9.8 mg/dL
Normal calcium levels are not indicative of hypoparathyroidism.
B. A client who has a phosphate of 5.7 mg/dL
A manifestation of hypoparathyroidism would be a high phosphate level due to the low production of parathyroid hormone, which is responsible for regulating calcium and phosphate levels. It leads to reduced phosphate excretion.
C. A client who has a magnesium of 1.8 mEq/L
Low magnesium levels are not indicative of hypoparathyroidism.
D. A client who has a vitamin D of 25 ng/ml
Normal vitamin D levels are not indicative of hypoparathyroidism.
Full Explanation
A. Normal calcium levels are not indicative of hypoparathyroidism.
B. A manifestation of hypoparathyroidism would be a high phosphate level due to the low production of parathyroid hormone, which is responsible for regulating calcium and phosphate levels. It leads to reduced phosphate excretion.
C. Low magnesium levels are not indicative of hypoparathyroidism.
D. Normal vitamin D levels are not indicative of hypoparathyroidism.
A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?
A. Urine output is less than 400 mL per 24 hr.
Oliguria, characterized by urine output less than 400 mL per 24 hours, is a hallmark of the oliguric phase of acute kidney injury.
B. BUN and creatinine levels decrease.
BUN and creatinine levels typically increase during the oliguric phase due to decreased kidney function.
C. Renal function is reestablished.
Renal function is not reestablished during the oliguric phase; this phase represents reduced kidney function.
D. The glomerular filtration rate (GFR) recovers
The glomerular filtration rate remains decreased during the oliguric phase.
Full Explanation
A. Oliguria, characterized by urine output less than 400 mL per 24 hours, is a hallmark of the oliguric phase of acute kidney injury.
B. BUN and creatinine levels typically increase during the oliguric phase due to decreased kidney function.
C. Renal function is not reestablished during the oliguric phase; this phase represents reduced kidney function.
D. The glomerular filtration rate remains decreased during the oliguric phase.