Which of the following laboratory tests would best indicate the patient may have renal insufficiency?

The nurse understands that IVP usually is not indicated for a patient with acute renal failure because:

During peritoneal dialysis, the dialysate solution has difficulty draining from the abdomen. An appropriate nursing intervention to facilitate drainage would be to:

The nurse knows that end-stage renal disease (ESRD) develops when:

A 35-year-old woman arrives at the ED complaining of nausea, vomiting, malaise, and a decreased urine output. She recently completed a 2-week course of cephradine (Velosef) for a UTI. Urinalysis reveals a sodium level of 40 mEq/L with a urine specific gravity of 1.0. Urine sediment includes casts, with few red blood cells (RBCs) or white blood cells (WBCs). Other laboratory findings include a serum BUN level of 40 mg/dL and a serum creatinine level of 4 mg/dL. Which condition is suggestive of the patient’s assessment findings?

A 62-year-old man arrives at the ED after being unable to urinate for the past 2 days. He appears slightly confused and complains of nausea, vomiting, and swollen ankles. His history reveals no renal dysfunction but a history of benign prostatic hypertrophy. Laboratory findings indicate a serum BUN level of 38 mg/dL and a serum creatinine level of 4 mg/dL. The nurse suspects that this patient is exhibiting signs and symptoms of:

A 52-year-old diabetic man with a 1-year history of chronic renal failure that is treated with continuous ambulatory peritoneal dialysis is unconscious when admitted to the ED. His blood pressure is 190/100 mmHg; serum potassium level, 7.8 mEq/L; serum BUN level, 200 mg/dL, and serum creatinine level, 10 mg/dL. Available medical records indicate that 2 years ago he had been receiving 28 units of NPH insulin daily. The nurse anticipates that the patient’s hyperkalemia will be treated with:

If a patient with acute renal failure (ARF) exhibits a pericardial friction rub, the nurse should immediately:

A critically high potassium value was just received on a patient with end state renal failure. Of the following medications, which would be most useful to temporarily decrease the potassium level?

Which finding differentiates decreased renal perfusion from acute tubular necrosis (ATN):

An 18-year-old has chronic kidney insufficiency and must take an injection of growth hormone. He takes his own injections and his parents bring him to the healthcare clinic every four weeks for follow-up evaluation. What laboratory levels would need to be monitored in a client taking growth hormones?

A client who has been diagnosed with chronic kidney disease is talking to the nurse about his overall health. Which best describes the difference between health promotion and disease management in this situation?

A client with severe, uncontrolled hypertension is being evaluated for chronic kidney disease. The provider checks the glomerular filtration rate and determines that it is 22 mL/min. Which stage of chronic kidney disease does this GFR place the client?

A provider has ordered a serum creatinine test for a client who is being assessed for chronic kidney disease. The client asks the nurse about the test. Which of the following responses correctly explains serum creatinine?

The nurse is caring for a client who has chronic kidney disease. Which of the following medications would the nurse question?

A diabetic client has recently been diagnosed with stage one chronic kidney disease. Which of the following topics must the nurse include when teaching this client?

The nurse is admitting a client with a history of chronic kidney disease. Which of the following lab values is inconsistent with chronic kidney disease?

The nurse is caring for a client who has been diagnosed with chronic kidney failure. Which of the following aspects of this client’s history could have contributed to this?