A patient's serum creatinine level is increasing,but the urine creatinine clearance is decreasing.How would the nurse evaluate these two findings?
A)The patient may be experiencing the onset of heart failure.
B)The patient will probably have associated hypokalemia.
C)The patient is malnourished.
D)There is a decrease in glomerular function.

Question

Quizplus · Accepted Answer

An increase in serum creatinine level indicates a decrease in glomerular filtration rate, which is a sign of impaired renal function. A decrease in urine creatinine clearance further confirms this impairment. Heart failure and hypokalemia may cause renal impairment, but these conditions are not directly related to the two findings presented. Malnutrition may also affect renal function, but there is no evidence to support this in the scenario given.

A Patient's Serum Creatinine Level Is Increasing,but the Urine Creatinine