A 62 year old woman is admitted to the Intensive Care Unit. She has a history of a kidney transplant 11 years ago and has had no problems with her kidney function. She has been taking Furosemide 20 mg by mouth twice a day since the kidney transplant. In the last two days she has voided less than 200 mL a day. What abnormal lab values would the nurse most likely see?
  1. Elevated Amylase and lipase
  2. Elevated potassium and decreased sodium
  3. Increased Creatinine and low potassium
  4. Increased Creatinine and increased calcium
Explanation
Answer: C - The abnormal lab values the nurse would most likely see in the patient who has a history of a kidney transplant and new onset low urine output would be elevated Creatinine and low potassium. The extended use of Furosemide would decrease potassium levels. If the patient is not voiding, the Creatinine would most likely elevate as it appears the kidney is not functioning correctly.
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