{"id":141037,"date":"2024-09-20T09:12:38","date_gmt":"2024-09-20T09:12:38","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=141037"},"modified":"2024-09-20T09:12:40","modified_gmt":"2024-09-20T09:12:40","slug":"a-nurse-is-reviewing-the-laboratory-reports-of-a-client-who-is-undergoing-nutritional-screening-due-to-a-risk-for-chronic-kidney-disease","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/20\/a-nurse-is-reviewing-the-laboratory-reports-of-a-client-who-is-undergoing-nutritional-screening-due-to-a-risk-for-chronic-kidney-disease\/","title":{"rendered":"A nurse is reviewing the laboratory reports of a client who is undergoing nutritional screening due to a risk for chronic kidney disease"},"content":{"rendered":"\n<p>A nurse is reviewing the laboratory reports of a client who is undergoing nutritional screening due to a risk for chronic kidney disease. The nurse should identify that which of the following results indicates the need for further assessment?<\/p>\n\n\n\n<p>A.<br>Serum creatinine 3.5 mg\/dL<\/p>\n\n\n\n<p>B.<br>Hematocrit 45%<\/p>\n\n\n\n<p>C.<br>Blood urea nitrogen 18 mg\/dL<\/p>\n\n\n\n<p>D.<br>Sodium 140 mEq\/L<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>A. Serum creatinine 3.5 mg\/dL<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>In patients at risk for chronic kidney disease (CKD), serum creatinine levels are critical indicators of kidney function. Normal serum creatinine levels typically range from approximately 0.6 to 1.2 mg\/dL, depending on factors such as age, sex, and muscle mass. A serum creatinine level of 3.5 mg\/dL is significantly elevated and suggests impaired kidney function, which necessitates further assessment.<\/p>\n\n\n\n<p>Elevated serum creatinine indicates that the kidneys are not effectively clearing creatinine from the bloodstream, leading to its accumulation. In the context of CKD, rising creatinine levels can signify a decline in the glomerular filtration rate (GFR), which is a crucial parameter for evaluating kidney function. A GFR below 60 mL\/min for three months or longer is indicative of CKD.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Comparison with Other Options:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B. Hematocrit 45%<\/strong>: This value is within the normal range for adults, which is typically around 38.3% to 48.6% for men and 35.5% to 44.9% for women. A hematocrit of 45% does not indicate an immediate need for further assessment regarding kidney function.<\/li>\n\n\n\n<li><strong>C. Blood urea nitrogen (BUN) 18 mg\/dL<\/strong>: This result is also within the normal range (7-20 mg\/dL). Although BUN can be affected by factors like protein intake and hydration status, it does not directly indicate kidney damage.<\/li>\n\n\n\n<li><strong>D. Sodium 140 mEq\/L<\/strong>: This value is considered normal (135-145 mEq\/L). Sodium levels can fluctuate with various conditions, but this reading does not suggest any immediate concern related to kidney function.<\/li>\n<\/ul>\n\n\n\n<p>In summary, a serum creatinine level of 3.5 mg\/dL is a critical finding in a patient at risk for CKD, signaling the need for further investigation to determine the extent of kidney impairment and to initiate appropriate management.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is reviewing the laboratory reports of a client who is undergoing nutritional screening due to a risk for chronic kidney disease. The nurse should identify that which of the following results indicates the need for further assessment? A.Serum creatinine 3.5 mg\/dL B.Hematocrit 45% C.Blood urea nitrogen 18 mg\/dL D.Sodium 140 mEq\/L The correct [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141037","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141037"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141037\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141037"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141037"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}