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    Ati nurs 114 med surg proctored exam

    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. As chronic kidney disease progresses, the glomeruli become increasingly damaged, allowing more albumin and other proteins to leak into the urine. Rising levels of albuminuria are an early and significant indicator of worsening renal function. B. In CKD, creatinine levels increase due to reduced renal clearance. A decreasing creatinine level would suggest improved kidney function, which is not expected in progressive CKD. C. The GFR declines as CKD advances because the kidneys lose their ability to effectively filter blood. A rising GFR would indicate improvement rather than progression. D. Proteinuria typically worsens as kidney damage progresses due to the continued loss of glomerular integrity, not improvement.

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