What lab value indicates renal function in a patient with acute kidney injury?

Prepare for the Adult–Gerontology Acute Care Nurse Practitioner Certification (AGACNP) Test. Practice with comprehensive quizzes, gain confidence with detailed explanations, and excel in your exam!

In the context of acute kidney injury, blood urea nitrogen (BUN) serves as an important indicator of renal function. BUN is a waste product formed from the breakdown of protein and is normally removed from the bloodstream by the kidneys. When kidneys are impaired, as in the case of acute kidney injury, the level of BUN in the blood can rise, reflecting a decrease in the kidneys' ability to filter and excrete waste efficiently.

While creatinine is also a relevant marker for renal function and is commonly measured alongside BUN, the rise in BUN can occur due to factors such as dehydration, increased protein intake, or catabolism, providing a broader view of kidney function in certain contexts. Therefore, monitoring BUN, along with other markers like creatinine, offers valuable insight into the patient's renal status.

In contrast, blood glucose and serum potassium are not direct indicators of renal function. Blood glucose primarily reflects carbohydrate metabolism rather than kidney performance. Serum potassium levels can indicate kidney function indirectly but are more specific to electrolyte balance and may not provide a clear picture of overall kidney health.

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