Certified Nephrology Nursing 2024 Study guide Questions and Correct Answers

Which Physical Examination finding indicates poor nutrition status? A. Dental Caries B. Loss of balance C. Shortness of breath D. Skeletal muscle Wasting Ans--Answer D Skeletal muscle wasting Rational Physical examination findings that indicate poor nutrition include general muscle wasting, loss of adipose tissue, decreased alertness, and dry/scaling skin. Volume of distribution is an important concept in understanding plasma concentration of drugs given to individuals with CKD. Which of the following is accurate regarding volume of distribution in CKD? A. The larger the volume of distribution, the lower the amount of drug required for therapeutic effect B. Drugs with a high volume of distribution are found more in the extravascular spaces. C. The lower the volume of distribution, the longer the half-life of elimination D. Drugs with a low volume of distribution are more likely to result in toxic effects Ans--Answer B. Drugs with a high volume of distribution are found more in the extravascular spaces. Rational The volume of distribution indicates which body compartment to which a drug is distributed. Drugs with a high volume of distribution are found more readily in the extracellular spaces as opposed to the intracellular spaces Which characteristic of a drug is most likely to decrease the likelihood that the drug will be removed by dialysis A. High protein binding B. Small molecular weight C. metabolized by the liver D. negatively charged Ans--Answe