The nurse is preparing to administer a hemodialysis treatment for a client with chronic kidney disease. Which laboratory values does the nurse anticipate prior to the client's treatment?
Select all that apply.
A) Increased blood urea nitrogen (BUN)
B) Decreased potassium
C) Decreased phosphorus
D) Increased urine osmolality
E) Increased creatinine
Answer: A, E
The damaged kidney is unable to excrete waste products, including creatinine, so it will be increased. The client will also have an increased blood urea nitrogen (BUN) level due to the damaged kidneys. The damaged kidney is unable to excrete solutes; therefore, the serum osmolality will be increased and the urine osmolality will be decreased. Both phosphorus and potassium increase during renal failure due to the inability of the kidney to excrete them.
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