Practice Quiz

NCLEX-RN

Category - Reduction of Risk

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A nurse is reviewing the laboratory results of a client with chronic renal failure. Which of the following findings should be reported to the physician immediately?
  1. BUN 27 mg/dl
  2. Serum creatinine 2.0 mg/dl
  3. Hemoglobin 9.0 g/dl
  4. Phosphorus 4.5 mg/dl
Explanation
Answer: C - The nurse should immediately report the client’s hemoglobin level. The normal range of hemoglobin is 12.6 - 17.4 g/dl (male) and 11.7 - 16.1 mg/dl (female). Renal anemia is a condition that results from too low hemoglobin due to a decreased ability of the kidneys to manufacture the hormones needed to produce the red blood cells. The abnormal BUN and serum creatinine levels are not considered clinically significant since they are part of the client’s disease process.
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