CCRN Nursing Exam Prep - Adult Critical Care

Category - Medical Surgical

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Which of the following clients would indicate that he/she is manifesting chronic renal failure?

A client with a total urinary output of 876 ml over 24 hours
A client with serum potassium level of 4.2 mEq/L
A client with serum creatinine level of 1.1 mg/dL
A client with serum blood urea nitrogen of 25 mg/dL

Explanation

Answer - D - Chronic renal failure presents with decreased urinary output and increased serum BUN, creatinine, and potassium levels. In this case, the serum BUN level is elevated (normal range: 10-20 mg/dL) and everything else is within normal limits.

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