Practice Question
A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?
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Correct Answer:
Urine albumin increasing
Rationale:
🩺In progressing chronic kidney disease (CKD), there is ongoing glomerular damage, which increases albumin leakage into the urine (albuminuria/micro- to macro-albuminuria).
🩺Rising urine albumin is a key early marker of CKD progression and correlates with worse renal and cardiovascular outcomes.
🩺As CKD advances, GFR declines while serum creatinine and BUN rise—trends that align with increased protein loss in urine.
🩺Detecting increasing albuminuria prompts tighter blood pressure, glycemic, and RAAS blockade management to slow progression.
🩺Routine urine ACR (albumin-to-creatinine ratio) trending is recommended to risk-stratify and adjust therapy.
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This question is from Custom NUR212 Final Assessment Fall 1 2025 which contains 50 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4