Critical Care Registered Nurse (CCRN) Practice Exam 2025 – Your Complete Guide to Exam Mastery

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What laboratory value is primarily monitored to assess renal function?

Blood urea nitrogen (BUN)

Serum creatinine level

Monitoring serum creatinine levels is essential for assessing renal function because creatinine is a waste product produced from muscle metabolism and is excreted by the kidneys. The levels of serum creatinine indicate how well the kidneys are filtering and removing waste from the bloodstream. An increase in serum creatinine levels typically suggests impaired kidney function, which may be due to conditions such as acute kidney injury or chronic kidney disease.

While blood urea nitrogen (BUN) can also provide insight into kidney function, it is influenced by factors unrelated to renal function, including protein intake, hydration status, and liver function. Therefore, although it can be a useful test in conjunction with serum creatinine, it is not as specific for renal function assessment.

Electrolyte levels are important for evaluating overall health and imbalances that can result from renal dysfunction but do not directly reflect kidney filtering function. Similarly, urine output monitoring is significant for assessing renal function and fluid status; however, it is a more indirect measure compared to serum creatinine and can be affected by factors such as fluid intake and heart function.

In summary, serum creatinine is the preferred laboratory value for directly assessing renal function due to its production and elimination processes, making it a crucial parameter for monitoring kidney health.

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Electrolyte levels

Urine output

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