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?
Explanation & Rationale
Rationale: A. This is correct because progressing chronic kidney disease (CKD) is characterized by damage to the glomeruli, which leads to leakage of proteins such as albumin into the urine (albuminuria). An increasing urine albumin level is a common early indicator of worsening kidney function. B. This option is incorrect because in CKD, proteinuria usually increases, not decreases, as kidney damage worsens. A decreasing trend would suggest improvement, which is not expected in progressing CKD. C. This option is incorrect because creatinine levels typically increase as kidney function declines, reflecting impaired glomerular filtration. A decreasing creatinine would suggest improving renal function, which is inconsistent with progression. D. This option is incorrect because GFR declines in CKD as nephrons are damaged. An increasing GFR would indicate improving kidney function, which is not expected in progressing CKD