Overview of CKD sherpath Exam Questions and Answers

Overview of CKD sherpath Exam Questions and Answers A nurse would expect to see which result upon taking the blood pressure (BP) of a patient with a known diagnosis of chronic kidney disease (CKD)? 180/100 This is a very high BP and would be seen in a patient with CKD due to sodium and water retention. patient with chronic kidney disease (CKD) has had lowered glomerular filtration rate (GFR) levels for months. The most recent levels were recorded as 14 mL/min. What should the nurse expect to be the next recommendation for this patient? Hemodialysis Hemodialysis is a treatment to remove excess fluid, wastes, and electrolytes in a patient with end-stage renal disease and a GFR of 14 mL/min. What should the nurse include when educating a group of middle aged adults about CKD? Monitor blood pressure on a regular basis Hypertension is a major risk factor for developing CKD, so the nurse should educate the participants about decreasing their risk. Have fasting blood glucose levels drawn every year Diabetes mellitus is a major risk factor for developing CKD, so the patient should have fasting blood glucose levels drawn annually. The nurse will include this when teaching the participants about CKD. Which manifestations would the nurse expect to find in a patient with chronic kidney disease (CKD) who has elevated blood urea nitrogen (BUN) levels? Fatigue Fatigue results from toxin buildup such as blood urea nitrogen. Nausea/vomiting Nausea and vomiting can happen due to a buildup of toxins such as blood urea nitrogen. Impaired thought processes The patient can experience mental status changes as a result of toxin buildup such as blood urea nitrogen. What should the nurse assess next after discovering that a patient with CKD has a potassium level of 7.0 mEq/L? Telemetry monitor The kidneys are unable to excrete potassium, which leads to an excess. This can cause cardiac dysrhythmias; therefore, the nurse should check the telemetry monitor. A patient with chronic kidney disease (CKD) who presents with a bone fracture may have which common complication of CKD? Osteomalacia Osteomalacia occurs when calcium and phosphorus shifts out of the bones due to decreased calcium levels.