A client with chronic kidney disease (CKD) is being evaluated by the transplant team. The client’s glomerular filtration rate (GFR) is 14 mL/min. This places the client in which stage of CKD?

  1. stage 1
  2. stage 5
  3. stage 4
  4. stage 2
Number 2 is correct.
Rationale: Calculating glomerular filtration rate is the best way to determine kidney function. It is calculated with a formula that considers a client’s age, gender, race, and serum creatinine level. A GFR < 15 mL/min indicates stage 5, end-stage CKD. These clients require dialysis or kidney transplant for survival. A GFR of 15 to 29 indicates stage 4 kidney disease, and preparation for dialysis or transplant is usually indicated. Stages 1 – 3 of kidney disease are less severe and can often be managed with medication and lifestyle changes.