A family physician is providing care for a 61-year-old obese male who has a history of diabetes and hypertension. Blood work has indicated that the man has a GFR of 51 mL/minute with elevated serum creatinine levels

Question

Which of the following statements will the physician most likely provide the client in light of these results?
A)
"We will regularly monitor your kidney function, but most likely your kidneys will be able to compensate on their own and intervention is not required."
B)
"You likely have chronic kidney disease, and there may be urine in your blood until it is controlled."
C)
"Your chronic kidney disease has likely been caused by your diabetes and high blood pressure."
D)
"You're in kidney failure, and I'll be starting dialysis treatment immediately."

Answer 1

Ans:
C

Feedback:

Diabetes and hypertension are conditions that can cause chronic kidney disease (CKD). While the kidneys do have a remarkable ability to compensate for impaired function, this fact does not mean that treatment would not be undertaken. Hematuria is not a common manifestation of CKD, and the client's GFR of 51 mL/minute does not indicate kidney failure or the need for dialysis.