50. A nurse is caring for a preschool-aged child diagnosed w…

50. A nurse is caring for a preschool-aged child diagnosed with minimal change nephrotic syndrome (MCNS). The nurse notes the following findings in the child’s physical assessment: weight gain over a period of days, periorbital edema, and dark, frothy urine. Which of the following laboratory findings would the nurse expect to observe in this child?

34. A nurse is educating a client with newly diagnosed autos…

34. A nurse is educating a client with newly diagnosed autosomal dominant polycystic kidney disease (ADPKD) who is starting tolvaptan (Jynarque). The nurse explains that tolvaptan inhibits vasopressin and helps to slow the progression of kidney cyst growth. Which of the following factors should be reported to the healthcare provider before initiation of the medication?

22. A nurse is caring for a client who has chronic kidney di…

22. A nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The provider prescribes aluminum hydroxide. The client asks, “Why can’t I just take the antacid magaldrate (Mylanta) my husband has at home?” The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following?

25. A 76-year-old female patient with a history of renal imp…

25. A 76-year-old female patient with a history of renal impairment is diagnosed with a urinary tract infection (UTI) and prescribed nitrofurantoin. The nurse is reviewing the patient’s medical record and notices that her most recent creatinine clearance is significantly lower than normal.  Which of the following actions should the nurse prioritize?