Exam 2 Medsurg Renal
.
- 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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