Certified Dialysis Nurse Test Review || A+ Verified Solutions.
Deferoxamine (Desferal) correct answers The nurse caring for a dialysis patient with known
aluminum overload should be prepared to administer which medication during the latter part of
the dialysis treatment to help correct this abnormality?
Overdose of diuretics, Toxic exposure to pesticides. correct answers What are the likely reasons
that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
Charcoal may be used in association with deferoxamine chelation to remove excess aluminum or
iron from body tissues. correct answers Hemoperfusion is more effective than hemodialysis for
removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic, edematous, and
hypoproteinemic.
-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac
dysrhythmias and pulmonary congestion should be anticipated. correct answers When caring for
a patient who is experiencing a severe transplant rejection, what complications should the nurse
anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour period. correct answers
When educating a peritoneal dialysis patient about the prescribed icodextrin solution, which
teaching points should the nurse include?
- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF. correct answers Which teaching points must be mastered by patients before they
can perform their automated peritoneal dialysis at home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-3 days
postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate until the effluent is no
longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is undergoing
PD. - A small volume of heparinized solution should remain in the peritoneum to inhibit the
formation of fibrin
-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are performed using
a cycler with the patient in the supine position. correct answers During the period called catheter
break-in, when the peritoneal dialysis catheter is placed and healing has begun, the nurse should
anticipate which prescribed dialysis orders?
,rapid waste clearance, poor UF of fluid, high glucose absorption, and high protein loss. correct
answers A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss. correct
answers A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. correct answers When a patient is deciding
between peritoneal dialysis and hemodialysis, what are some of the benefits the staff can share
regarding quality-of-life benefits related to PD?
The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally. correct answers Which manifestations
might lead the clinician to believe that a patient on PD requires an increased dose of dialysis?
• Active chronic infection or sepsis
• Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen correct answers Absolute Contraindications to
Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. correct answers The dialysis nurse should suspect the toddler
weighing less than 20 kg. is experiencing hypotension if these clinical manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD. correct answers In which areas of care has the nonprofit foundation Kidney
Disease Improving Global Outcomes (KDIGO) provided written evidence-based guidelines
related to the prevention or management of kidney disease?
2019 - National Dialysis Accreditation Commission (NDAC). correct answers Which
organization was recently approved by CMS to conduct surveys for Medicare certification
fostering faster approval of dialysis clinics?
Hypotension.
Cramping. correct answers When caring for a patient on dialysis, if the dialysate solution
contains too little sodium, the water may shift into the patient's blood cells, causing which signs
or symptoms?
, 700-1,000 mL of water. correct answers How much water is typically lost through evaporation
from the lungs and insensible perspiration every day?
"If nephrons are damaged, they do not regenerate." correct answers A patient with renal failure
asks the dialysis nurse if his kidney will regenerate. How does the nurse answer?
"It is likely the proximal tubule and collecting ducts are damaged." correct answers A dialysis
patient asks, "Which part of my kidney is causing my problem with water reabsorption?" What is
the proper response?
"Control your blood glucose levels if you are a diabetic."
"Maintain a healthy weight."
"Control cholesterol levels." correct answers The patient asks if there is anything she can do to
slow or delay the progression of her kidney disease. Which modifiable risk factors could the
nurse mention?
Dietary restrictions on sodium, phosphorus, and protein.
Monitoring for mineral bone disease.
Education on cardiovascular disease. correct answers Which recommendations would a
nephrologist be likely to make for a patient who has reached stages 3 or 4 chronic kidney disease
(CKD)?
Avoiding ibuprofen for pain.
Discontinuing bisphosphonates for osteoporosis. correct answers A CKD patient arrives at the
dialysis center after her nephrology visit. Since her eGFR is now in the 20s, which changes in
her prescriptions should the dialysis nurse anticipate?
Renal carcinoma. correct answers A family member asks the dialysis nurse if he should be
concerned about some blood in his urine. The dialysis nurse knows that this disease is associated
with hematuria and encourages him to seek medical care with his primary healthcare provider:
Renal artery stenosis.
Severe dehydration. correct answers Which prerenal causes can reduce blood flow to the kidney
and result in acute kidney injury?
Hypertension. correct answers More than 80% of patients with an estimated GFR less than 60
mL/min have which condition/disease?
Left ventricular hypertrophy. correct answers The renal nurse is concerned that a dialysis patient
who had a heart attack recently is experiencing a complication. The patient's BP is 190/110; he
has irregular heartbeats, is short of breath, and has bilateral rales in bases. Which complication is
associated with these symptoms?
There is a deficiency of both the bone matrix and calcification of the bones. correct answers A
dialysis patient has been told she has osteoporosis. What information should the nurse discuss
with this patient during an educational session?
Deferoxamine (Desferal) correct answers The nurse caring for a dialysis patient with known
aluminum overload should be prepared to administer which medication during the latter part of
the dialysis treatment to help correct this abnormality?
Overdose of diuretics, Toxic exposure to pesticides. correct answers What are the likely reasons
that a patient would be prescribed hemoperfusion?
most sedatives, theophylline, digoxin, and some pesticides and herbicides.
Charcoal may be used in association with deferoxamine chelation to remove excess aluminum or
iron from body tissues. correct answers Hemoperfusion is more effective than hemodialysis for
removal of
- tissues are often edematous and extremely friable.
- Patients with infections and rejection are almost always catabolic, edematous, and
hypoproteinemic.
-Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac
dysrhythmias and pulmonary congestion should be anticipated. correct answers When caring for
a patient who is experiencing a severe transplant rejection, what complications should the nurse
anticipate?
The most common adverse effect is skin rash.
This solution should be used for no more than one exchange in a 24-hour period. correct answers
When educating a peritoneal dialysis patient about the prescribed icodextrin solution, which
teaching points should the nurse include?
- measure the volume of dialysate to be infused,
- warm the dialysate to body temperature before infusion,
- time the frequency of exchanges,
- count the number of exchanges
- measure UF. correct answers Which teaching points must be mastered by patients before they
can perform their automated peritoneal dialysis at home?
- Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-3 days
postoperatively.
- Low volume in and out exchanges with heparinized saline or dialysate until the effluent is no
longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is undergoing
PD. - A small volume of heparinized solution should remain in the peritoneum to inhibit the
formation of fibrin
-immediate dialysis need: Frequent, low-volume exchanges (500-1000 mL) are performed using
a cycler with the patient in the supine position. correct answers During the period called catheter
break-in, when the peritoneal dialysis catheter is placed and healing has begun, the nurse should
anticipate which prescribed dialysis orders?
,rapid waste clearance, poor UF of fluid, high glucose absorption, and high protein loss. correct
answers A high PET score means
slow waste clearance, excellent UF of fluid, and decreased likelihood of protein loss. correct
answers A low PET score means
Immediate Medicare coverage.
Greater blood pressure control.
Preservation of residual kidney function.
Greater independence for travel and employment. correct answers When a patient is deciding
between peritoneal dialysis and hemodialysis, what are some of the benefits the staff can share
regarding quality-of-life benefits related to PD?
The patient is malnourished.
Extreme pruritus to the point of scratching and bleeding.
Pericardial rub noted due to pericarditis from uremia.
Moist rales heard in the mid-scapular region bilaterally. correct answers Which manifestations
might lead the clinician to believe that a patient on PD requires an increased dose of dialysis?
• Active chronic infection or sepsis
• Active malignancy
• Active substance abuse
• Severe cardiovascular or pulmonary disease
• Inability to comply with the medication regimen correct answers Absolute Contraindications to
Transplantation
Irritability.
Yawning frequently.
Fidgety movements noted. correct answers The dialysis nurse should suspect the toddler
weighing less than 20 kg. is experiencing hypotension if these clinical manifestations are present:
Anemia in CKD.
Blood pressure in CKD.
Diabetes and CKD. correct answers In which areas of care has the nonprofit foundation Kidney
Disease Improving Global Outcomes (KDIGO) provided written evidence-based guidelines
related to the prevention or management of kidney disease?
2019 - National Dialysis Accreditation Commission (NDAC). correct answers Which
organization was recently approved by CMS to conduct surveys for Medicare certification
fostering faster approval of dialysis clinics?
Hypotension.
Cramping. correct answers When caring for a patient on dialysis, if the dialysate solution
contains too little sodium, the water may shift into the patient's blood cells, causing which signs
or symptoms?
, 700-1,000 mL of water. correct answers How much water is typically lost through evaporation
from the lungs and insensible perspiration every day?
"If nephrons are damaged, they do not regenerate." correct answers A patient with renal failure
asks the dialysis nurse if his kidney will regenerate. How does the nurse answer?
"It is likely the proximal tubule and collecting ducts are damaged." correct answers A dialysis
patient asks, "Which part of my kidney is causing my problem with water reabsorption?" What is
the proper response?
"Control your blood glucose levels if you are a diabetic."
"Maintain a healthy weight."
"Control cholesterol levels." correct answers The patient asks if there is anything she can do to
slow or delay the progression of her kidney disease. Which modifiable risk factors could the
nurse mention?
Dietary restrictions on sodium, phosphorus, and protein.
Monitoring for mineral bone disease.
Education on cardiovascular disease. correct answers Which recommendations would a
nephrologist be likely to make for a patient who has reached stages 3 or 4 chronic kidney disease
(CKD)?
Avoiding ibuprofen for pain.
Discontinuing bisphosphonates for osteoporosis. correct answers A CKD patient arrives at the
dialysis center after her nephrology visit. Since her eGFR is now in the 20s, which changes in
her prescriptions should the dialysis nurse anticipate?
Renal carcinoma. correct answers A family member asks the dialysis nurse if he should be
concerned about some blood in his urine. The dialysis nurse knows that this disease is associated
with hematuria and encourages him to seek medical care with his primary healthcare provider:
Renal artery stenosis.
Severe dehydration. correct answers Which prerenal causes can reduce blood flow to the kidney
and result in acute kidney injury?
Hypertension. correct answers More than 80% of patients with an estimated GFR less than 60
mL/min have which condition/disease?
Left ventricular hypertrophy. correct answers The renal nurse is concerned that a dialysis patient
who had a heart attack recently is experiencing a complication. The patient's BP is 190/110; he
has irregular heartbeats, is short of breath, and has bilateral rales in bases. Which complication is
associated with these symptoms?
There is a deficiency of both the bone matrix and calcification of the bones. correct answers A
dialysis patient has been told she has osteoporosis. What information should the nurse discuss
with this patient during an educational session?
