NCLEX Renal questions with correct answers

A client has been admitted to the hospital for urinary tract infection an dehydration. The nurse determines that the client has received adequate volume replacement if the BUN drops to: 1. 3 mg/dL 2. 15 mg/dL 3. 29 mg/dL 4. 35 mg/dL - Ans 2. The normal blood urea nitrogen level is 8 to 25 mg/dL. Values such as those in options 3 and 4 reflect continued dehydration. Option 1 reflects a lower than normal value, which may occur with fluid volume overload, among other conditions. An adult client has had lab work done as part of a routine physical exam. The nurse interprets that the client may have a mild degree of renal insufficiency if which of the following serum creatinine levels is noted? 1. 0.2 mg/dL 2. 0.5 mg/dL 3. 1.9 mg/dL 4. 3.5 mg/dL - Ans 3. The normal serum creatinine level for adults is 0.6 to 1.3 mg/dL. The client with a mild degree of renal insufficiency would have a slightly elevated level. A creatinine level of 0.2 mg/dL is low, and a level of 0.5 mg/dL is just below normal. A creatinine level of 3.5 mg/dL may be associated with acute or chronic renal failure. The nurse instructs a client with renal failure who is receiving hemodialysis about dietary modifications. The nurse determines that the client understands these dietary modifications if the client selects which items from the menu? 1. Cream of wheat, blueberries, coffee 2. Sausage and eggs, banana, orange juice.