Author Question: A client's BUN test results are significantly elevated. When reviewing the client's history, which ... (Read 124 times)

jasdeep_brar · **on:** Jul 22, 2018

A client's BUN test results are significantly elevated. When reviewing the client's history, which finding is consistent with BUN elevation other than renal compromise?

A) The client is on a low protein diet.
B) The client is dehydrated.
C) The client has a history of osteoarthritis.
D) The client is lactose intolerant.

Question 2

The nurse is preparing to provide education to a client concerning prescribed medications to manage incontinence. The prescribed medication is oxybutynin. What information can be provided?

A) The medication will reduce the amount of urine being produced by the body, thereby lessening incontinence.
B) The medication will help to stimulate contraction of muscles involved in voiding, thereby lessening incontinence.
C) The medication will be used to reduce overactivity of muscles involved in voiding, thereby lessening incontinence.
D) The medication will increase the amount of fluids retained by the body, thereby lessening the incidence of incontinence.

canderson530 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: B
Feedback:
The BUN test measures the amount of urea nitrogen in the blood. Urea, the major nitrogenous end-waste product of metabolism, is formed in the liver. The bloodstream carries urea from the liver to the kidneys for excretion. When the kidneys are diseased, they are unable to excrete urea adequately, and urea begins to accumulate in the blood, causing BUN to rise. Normal BUN is 8 to 25 mg/100 mL. Because other factors, such as high dietary intake of protein, fluid deficit, infection, gout, or excessive breakdown of protein stores, can also elevate BUN, it is not a highly sensitive indicator of impaired renal function.

Answer to Question 2

Ans: C
Feedback:
Oxybutynin (an antispasmodic) may be used to treat urinary urgency and frequency caused by overactive detrusor muscle activity.