Foundations of Critical Care Nursing (FCCN) Level 1
Exam | All Questions and Correct Answers |
Graded A+ | Verified Answers | Mayo Clinic Study
Guide
What is the goal of care for the recovery phase of an AKI? ------------Correct
Answer--------------------- supportive care
- prevent further damage
What are the causes of CKD? ------------Correct Answer--------------------- diabetes
(number one cause)
- hypertension (second cause)
- inflammation
- inherited (polycystic kidney disease)
- autoimmune (lupus)
- increasing age
- family history
- congenital
What are the stages of CKD? ------------Correct Answer--------------------1. kidney
damage (GFR less than 90)
2. mild kidney failure (GFR 60 to 89)
3. moderate kidney failure (GFR 30 to 59)
,4. severe kidney failure (GFR 15 to 29, needs dialysis)
5. end stage kidney failure (GFR less than 15, needs dialysis)
What are the systemic effects of renal disease? ------------Correct Answer-------------
-------- goes hand in hand with the cardiovascular system
- fluid overload and hormonal factors cause hypertension
- decreased erythropoietin causes anemia
- calcium and phosphate deposits in the soft and vascular tissues
- bone disorders
- poor appetite, nausea/vomiting, malnutrition
- abnormal presentation of skin, bruising
- increased infection risk
What is the aim of hemodialysis? ------------Correct Answer--------------------Fluid
and waste removal by ultrafiltration and diffusion
What are the key concepts of hemodialysis? ------------Correct Answer-----------------
---- vascular access is required (AV fistula or graft)
- patient can become fatigued and have blood pressure changes due to fluid shifts
What is the aim of continuous renal replacement therapy (CRRT)? ------------
Correct Answer--------------------24 hour blood purification therapy
,What are the principles of CRRT? ------------Correct Answer--------------------- fewer
hemodynamic changes
- less instability of electrolytes and ABGs
- continuous toxin removal
What is a temporary dialysis catheter (Mahurkar)? ------------Correct Answer---------
-----------Most common type of access used for CRRT emergencies
- used short term
- can cause infections
- need to be assessed BID
What is a temporary tunneled dialysis catheter (Palindrome)? ------------Correct
Answer--------------------Vascular access tunneled under the skin
- used short term
- can cause infections
- need to be assessed BID
What is the only indications for use of dialysis catheters? ------------Correct
Answer--------------------Only used for dialysis unless approved by nephrology or for
emergency access
, What is an arteriovenous (AV) fistula? ------------Correct Answer--------------------A
surgically created communication between artery and vein
- least likely to clot
- needs to mature
- BID assessments for infection
- bruit and thrill
What is an AV graft? ------------Correct Answer--------------------Synthetic materials
are used for the fistula
- higher risk of infection
- used when someone has small veins
What is a bruit? ------------Correct Answer--------------------The blood rushing
through the fistula/graft
What is a thrill? ------------Correct Answer--------------------A palpable vibration
What are the principles of peritoneal dialysis? ------------Correct Answer---------------
-----Does not use needles or blood, can be done at home
Exam | All Questions and Correct Answers |
Graded A+ | Verified Answers | Mayo Clinic Study
Guide
What is the goal of care for the recovery phase of an AKI? ------------Correct
Answer--------------------- supportive care
- prevent further damage
What are the causes of CKD? ------------Correct Answer--------------------- diabetes
(number one cause)
- hypertension (second cause)
- inflammation
- inherited (polycystic kidney disease)
- autoimmune (lupus)
- increasing age
- family history
- congenital
What are the stages of CKD? ------------Correct Answer--------------------1. kidney
damage (GFR less than 90)
2. mild kidney failure (GFR 60 to 89)
3. moderate kidney failure (GFR 30 to 59)
,4. severe kidney failure (GFR 15 to 29, needs dialysis)
5. end stage kidney failure (GFR less than 15, needs dialysis)
What are the systemic effects of renal disease? ------------Correct Answer-------------
-------- goes hand in hand with the cardiovascular system
- fluid overload and hormonal factors cause hypertension
- decreased erythropoietin causes anemia
- calcium and phosphate deposits in the soft and vascular tissues
- bone disorders
- poor appetite, nausea/vomiting, malnutrition
- abnormal presentation of skin, bruising
- increased infection risk
What is the aim of hemodialysis? ------------Correct Answer--------------------Fluid
and waste removal by ultrafiltration and diffusion
What are the key concepts of hemodialysis? ------------Correct Answer-----------------
---- vascular access is required (AV fistula or graft)
- patient can become fatigued and have blood pressure changes due to fluid shifts
What is the aim of continuous renal replacement therapy (CRRT)? ------------
Correct Answer--------------------24 hour blood purification therapy
,What are the principles of CRRT? ------------Correct Answer--------------------- fewer
hemodynamic changes
- less instability of electrolytes and ABGs
- continuous toxin removal
What is a temporary dialysis catheter (Mahurkar)? ------------Correct Answer---------
-----------Most common type of access used for CRRT emergencies
- used short term
- can cause infections
- need to be assessed BID
What is a temporary tunneled dialysis catheter (Palindrome)? ------------Correct
Answer--------------------Vascular access tunneled under the skin
- used short term
- can cause infections
- need to be assessed BID
What is the only indications for use of dialysis catheters? ------------Correct
Answer--------------------Only used for dialysis unless approved by nephrology or for
emergency access
, What is an arteriovenous (AV) fistula? ------------Correct Answer--------------------A
surgically created communication between artery and vein
- least likely to clot
- needs to mature
- BID assessments for infection
- bruit and thrill
What is an AV graft? ------------Correct Answer--------------------Synthetic materials
are used for the fistula
- higher risk of infection
- used when someone has small veins
What is a bruit? ------------Correct Answer--------------------The blood rushing
through the fistula/graft
What is a thrill? ------------Correct Answer--------------------A palpable vibration
What are the principles of peritoneal dialysis? ------------Correct Answer---------------
-----Does not use needles or blood, can be done at home
