Exam 2 Medsurg Renal

11 Questions | Total Attempts: 14

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Exam 2 Medsurg Renal

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Questions and Answers
  • 1. 
    In a patient on dialysis what should be monitored?  
    • A. 

      Labs including chemistries, WBC count and coagulation studies.

    • B. 

      All of these should be closely monitored.

    • C. 

      Frequent vital signs (including temperature) before, during and after procedure

    • D. 

      Weight before and after the procedure (same time every day).

  • 2. 
    . Which of the following is a major risk factor associated with peritoneal dialysis?  
    • A. 

      Fluid retention.

    • B. 

      All of these are concerns in PD.

    • C. 

      Hyperglycemia and increased triglyceride levels.

    • D. 

      Protein Losses (may need extra protein)

    • E. 

      Peritonitis and catheter infection

  • 3. 
    In a patient with stage 2-4 renal disease, what types of foods add to their uremic symptoms?  
    • A. 

      Protein

    • B. 

      Electrolytes

    • C. 

      Lipids.

    • D. 

      Carbohydrates

  • 4. 
    Your elderly patient presents with delirium. What is your concern in terms of renal function?  
    • A. 

      Delirium is associated with ESRD in the elderly.

    • B. 

      Elderly patients require a MAP of 50-55 to maintain renal perfusion

    • C. 

      Delirium is often the presenting sign of UTI in the elderly.

    • D. 

      Delirium almost always necessitates that the patient be catheterized to prevent incontinence.

  • 5. 
    Which laboratory abnormalities will you see in Chronic Kidney Disease (the patient is not on dialysis)? Choose all that apply.  
    • A. 

      Increased hematocrit and hemoglobin

    • B. 

      Decreased potassium

    • C. 

      Metabolic alkalosis

    • D. 

      Increased potassium

    • E. 

      Decreased phosphorous

    • F. 

      Metabolic acidosis

    • G. 

      Decreased calcium

    • H. 

      Decreased hematocrit and hemoglobin Increased calcium

    • I. 

      Increased calcium

  • 6. 
    Post renal transplantation what medication is critical for the patient to get daily?
    • A. 

      Immunostimulants.

    • B. 

      Immunosuppressive medications.

    • C. 

      Ace inhibitors

    • D. 

      Glycogen.

  • 7. 
    Which conditions place a patient at higher risk for developing CKD? (choose all that apply).
    • A. 

      Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

    • B. 

      Recurrent urinary tract infections including pyelonephritis

    • C. 

      Hypertension

    • D. 

      Appendicitis

    • E. 

      Acute renal failure

    • F. 

      DM (with uncontrolled glucoses)

    • G. 

      Glomerular Nephritis

  • 8. 
    Which of the following will be restricted in stages 4-5 (ESRD) patients?  
    • A. 

      Glucose, fluids, magnesium and calcium.

    • B. 

      Fluid, sodium, calcium and glucose.

    • C. 

      There are no restrictions at this phase of renal disease.

    • D. 

      Protein, fluids, K+, Phosphorous.

  • 9. 
    Your book describes increased urinary output as a likely finding in the patient post transplant. What is the physiologic reason for this?  
    • A. 

      This is often due to a drop in antidiuretic hormone post transplant

    • B. 

      Immunosuppressive medications have a side effect of diures

    • C. 

      This may be an early sign of rejection, treat it with concern.

    • D. 

      The kidneys have improved clearance of BUN, which acts as an osmotic diuretic.

  • 10. 
    The major purpose of dialysis in ESRD is to  
    • A. 

      Correct renal dysfunction.

    • B. 

      Remove protein from the blood.

    • C. 

      Remove drugs from the blood.

    • D. 

      Correct imbalances of fluid, electrolytes and acid-base

  • 11. 
    Which of the following patients will have a fluid restriction?  
    • A. 

      The patient with stage 1 renal failure.

    • B. 

      The patient with a UTI.

    • C. 

      The patient with glomerulonephritis.

    • D. 

      The patient who is going to be a transplant donor.

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