CDN Practice Questions #2 Verified Questions and Answers (100%Correct).

CDN Practice Questions #2 Verified Questions and Answers (100%Correct). The patient that is being evaluated for potential kidney disease should be aware of all of the following trouble signs, except? Puffy eyes Increased thirst Normal urination Fatigue and weakness - Answer Correct Answer: Normal urination Frothy or bloody urine could be a potential trouble sign. In addition to the other 3 options above, other signs could include difficult or painful urination and swollen feet, ankles, abdomen, hands, or face. Which of the following is not a nephrology association? ANNA NANT NLN AAKP - Answer Correct Answer: NLN The ANNA is the American Neprhology Nurses' Association. The NANT is the National Association of Nephrology Technicians. The AAKP is the American Association of Kidney Patients. The NLN is the National League of Nurses. The balance of phosphorous and magnesium in the body is regulated by which of the following? Gastrointestinal system Brain Kidneys Both A and C - Answer Correct Answer: Both A and C These are two very important components of many of the organic molecules. They serve as intermediates of the metabolic pathways. The 3 systems that maintain the balance of phosphorous and magnesium are the gastrointestinal system, kidneys, and the bone. With glomerularnephritis (GN), the treatment regimen should be aimed at which of the following? Allowing the patient to experience better sleep. Arresting the inflammatory process. Decreasing edema. CDN Practice Questions #2 Verified Questions and Answers (100%Correct). cdn practice questions #2 None of the above - Answer Correct Answer: Arresting the inflammatory process. The other 3 options above are incorrect. Arresting the inflammatory process is the aim for this treatment regimen. The pharmacologic agents that can be used are: Azathioprine Glucocorticoids Mycophenolate mofetil Cyclophosphamide Cyclosporine Omega-3 fatty acids RAS stands for? Renin-angiotensin syndrome Renal Artery Stenosis Reticular Activating system Retinoic Acid Syndrome - Answer Correct Answer: Renal Artery Stenosis The other 3 options above would be incorrect. RAS stands for renal artery stenosis. When the renal artery narrows more than 50%, it is considered to be renal artery stenosis (RAS). In over 90% of these cases, atherosclerosis is considered to be the cause. At which point when evaluating a patient with kidney disease would the patient be referred to a nephrologist be appropriate? Unexplained anemia + eGFR 60 mL/min/1.73m2 eGFR 30 mL/min/1.73 m2 ACR 30 mg/mmol (300 mg/g) All of the above - Answer Correct Answer: All of the above Referral to a nephrologist might be considered appropriate: Unexplained anemia + eGFR60 mL/min/1.73m2. eGFR 30 mL/min/1.73 m2 ACR 30 mg/mmol (300 mg/g) Hypertension hard to get to target despite 3 anti-hypertensive agents eGFR decline 3 mL/min/1.73 m2 What is ACR? - Answer Urine albumin to creatinine ratio (ACR), also known as urine microalbumin, helps identify kidney disease that can occur as a complication of diabetes. cdn practice questions #2 All of the following would be taken into consideration when offering a patient dialysis except? A life expectancy of more than 60 days. A patient that is not dying from a nonrenal cause. The patient that has a life expectancy of less than 30 days. The patient that possesses the ability to interact with the environment. - Answer Correct Answer: The patient that has a life expectancy of less than 30 days. When talking with the patient and/or surrogates, the principles of autonomy, beneficence, nonmaleficence, and justice should be utilized and tempered with the informed consent, obligations, professional duties, and shared decision making. The above 3 options should be taken into consideration prior to offering the patient dialysis. If the patient does not meet these options, they may still be offered short time dialysis. What is the preferred type of medication for the hypertensive CKD (chronic kidney disease) patient? CCB's ACEI's β blockers ARB's - Answer Correct Answer: ACEI's CCB's are calcium channel blockers which work to reduce blood pressure. β blockers are beta blockers and are considered the first-line agent for the treatment of hypertension, myocardial infarctions, and CHF patients. ARBs are angiotensin II receptor blockers and have a similar action to ace inhibitors. ACEI's are angiotensin-converting emzyme inhibitors and are the preferred type of medication for the CKD patient that is experiencing hypertension. They relax the blood vessels and decrease the blood pressure. These are frequently called ACE inhibitors.