Chronic kidney disease HESI case study (for unit 2 exam) Exam 1 Solved 100% Correct!!

What is the best description of CKD? - It is a fatal disorder unless renal replacement therapy is received. What additional information in Louellen's history may be related to the onset of ESRD? - Hypertension. Which lab value is likely to be decreased in a client with chronic kidney disease? - Serum calcium. What is the underlying pathology causing this abnormal lab value? - Fewer red blood cells are being formed. What is the correct interpretation of these ABGs? - Metabolic acidosis (compensated). Which additional assessment finding is consistent with ESRD? - Yellow-gray pallor. Which explanation best describes the pathology resulting in her hypertension? - Activation of the renin-angiotensin cycle and excretion of aldosterone causes hypertension. Which assessment finding indicated to the nurse that the desired outcome of the calcium acetate (Phoslo) has been achieved? - Serum phosphorus of 4.0 mg/dL Which assessment should the nurse perform to determine if the desired outcome of the captopril (Capoten) has been achieved? - Blood pressure. Which assessment data indicates to the nurse that the desired outcome of the epoetin alfa (Epogen) has been achieved? - Conjunctival sac returns to a reddish-pink color.