NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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What does albuminuria indicate in staging kidney disease?

  1. ACR or AER < 20

  2. ACR or AER >/= 30

  3. ACR or AER < 10

  4. ACR or AER >/= 50

The correct answer is: ACR or AER >/= 30

Albuminuria is a condition in which high levels of the protein albumin are found in the urine. In the context of staging kidney disease, albuminuria indicates that the kidneys are damaged and are not functioning properly. Therefore, the higher the level of albumin in the urine, the more severe the damage to the kidneys. ACR or AER refers to the albumin-to-creatinine ratio or albumin excretion rate, which are measurements used to diagnose and track the progression of kidney disease. Option A, with a ACR or AER < 20, indicates mild damage to the kidneys. Option C, with a ACR or AER < 10, would suggest even less damage than option A. Option D, with a ACR or AER >/= 50, would indicate more severe damage to the kidneys compared to option B which is the correct answer. Therefore, option B with a higher ACR or AER level is the best indicator for determining stage of kidney disease.