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Question
the nurse is reviewing a clients record and notes that the primary health care provider has documented that the client has chronic kidney disease. on review of the laboratory results, the nurse most likely would expect to note which finding? answer options: 1. elevated creatinine level 2. decreased hemoglobin level 3. decreased red blood cell count 4. increased number of white blood cells in the urine
In chronic kidney disease, the kidneys' ability to filter waste is impaired. Creatinine is a waste product normally filtered by the kidneys. When kidney function is reduced, creatinine builds up in the blood, resulting in an elevated creatinine level. Hemoglobin and red - blood - cell count can be decreased due to reduced production of erythropoietin by damaged kidneys, but an elevated creatinine level is a more direct and common finding. An increased number of white - blood cells in the urine is more indicative of a urinary tract infection rather than chronic kidney disease itself.
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- Elevated creatinine level