Davita RN FINAL EXAM Questions and
Answers Verified Solutions Latest
Update
Question:
What are the kidneys excretory functions.
Answer:
To normalize electrolytes, remove wastes, provide fluid and nutrient balance
Question:
What is the function of the acid concentration.
Answer:
Provides the concentration gradient for diffusion and helps normalize electrolytes
Question:
What is the function of bicarbonate.
Answer:
Buffers the acid concentrate
Question:
Signs and symptoms of hyperkalemia.
Answer:
> 5.5 mEq: extreme muscle weakness, abnormal heart rhythm, possible cardiac arrest
Question:
Signs and symptoms of hypokalemia.
Answer:
< 3.5 mEq: fatigue, muscle weakness, paralysis, respiratory failure, cardiac instability,
arrhythmias, cardiac arrest
,Question:
What are the kidneys endocrine functions.
Answer:
Renin secretion, Erythropoeitin secretion, Vit D Activation
Question:
How do we replace normal endocrine kidney functions.
Answer:
Provide medications
Question:
How much of normal kidney function is replaced by hemodialysis.
Answer:
15%
Question:
What is uremia and how does it affect the body?.
Answer:
Uremia is a buildup of wastes in the blood due to kidney failure and affects all body
systems.
Question:
What are the most common causes of CKD in the usa?.
Answer:
Diabetes Hypertension Polycystic Kidney Disease
Question:
Outline the treatment goals for a patient with CKD.
Answer:
slowing the progression of ckd -managing comorbidities and complications -controlling
symptoms -minimizing the effects of ckd on patients' lifestyles -kidney replacement
therapy modality education -encouraging patients to actively participate in their
healthcare
,Question:
Why is it important to know what caused your patients CKD.
Answer:
So the nurse and PCT can inquire about possible problems during data collection and
assessment
Question:
Why is sodium balance important?.
Answer:
Leads to volume expansion, increased cardiac output, increased peripheral vascular
resistance, and increased blood pressure
Question:
Signs and symptoms of fluid imbalance.
Answer:
Edema, hypertension, shortness of breath
Question:
Systemic effects of CKD what would you advise for a patient who complains of: dry
itchy skin, peripheral neuropathy(nerve pain in extremities) and gi problems.
Answer:
Use hyper-fatted soaps and lotions, monitor patient for changes in motor function and
inform RN and physician of any bleeding problems/constipation/diarrhea
Question:
What is the consequences of prolonged fluid overload and hypertension.
Answer:
Left ventricular hypertrophy
Question:
What is Percarditis?.
Answer:
Inflammation of the membrane (pericardial sac) around the heart
, Question:
What is a common cause of hypertension in dialysis patients.
Answer:
fluid overload
Question:
Left ventricular hypertrophy leads to.
Answer:
Ischemic heart disease, arrhythmia, myocardial infarction, and sudden death
Question:
Why are dialysis patients anemic?.
Answer:
1. the lifespan of their red blood cell is 60 days 1/2 of the normal 120 days.
Question:
What can you do to avoid contributing to lower hemoglobin and blood loss in dialysis
patients.
Answer:
Verify correct Erythropoietin Stimulating Agent (ESA) dose is administered, rinse back
until venous line is pink tinged, and avoid repeat lab draws
Question:
What are the 4 key elements contributing to CKD-mineral bone disorder(MBD).
Answer:
1. Calcium
Question:
Phosphorus
Question:
PTH
Answers Verified Solutions Latest
Update
Question:
What are the kidneys excretory functions.
Answer:
To normalize electrolytes, remove wastes, provide fluid and nutrient balance
Question:
What is the function of the acid concentration.
Answer:
Provides the concentration gradient for diffusion and helps normalize electrolytes
Question:
What is the function of bicarbonate.
Answer:
Buffers the acid concentrate
Question:
Signs and symptoms of hyperkalemia.
Answer:
> 5.5 mEq: extreme muscle weakness, abnormal heart rhythm, possible cardiac arrest
Question:
Signs and symptoms of hypokalemia.
Answer:
< 3.5 mEq: fatigue, muscle weakness, paralysis, respiratory failure, cardiac instability,
arrhythmias, cardiac arrest
,Question:
What are the kidneys endocrine functions.
Answer:
Renin secretion, Erythropoeitin secretion, Vit D Activation
Question:
How do we replace normal endocrine kidney functions.
Answer:
Provide medications
Question:
How much of normal kidney function is replaced by hemodialysis.
Answer:
15%
Question:
What is uremia and how does it affect the body?.
Answer:
Uremia is a buildup of wastes in the blood due to kidney failure and affects all body
systems.
Question:
What are the most common causes of CKD in the usa?.
Answer:
Diabetes Hypertension Polycystic Kidney Disease
Question:
Outline the treatment goals for a patient with CKD.
Answer:
slowing the progression of ckd -managing comorbidities and complications -controlling
symptoms -minimizing the effects of ckd on patients' lifestyles -kidney replacement
therapy modality education -encouraging patients to actively participate in their
healthcare
,Question:
Why is it important to know what caused your patients CKD.
Answer:
So the nurse and PCT can inquire about possible problems during data collection and
assessment
Question:
Why is sodium balance important?.
Answer:
Leads to volume expansion, increased cardiac output, increased peripheral vascular
resistance, and increased blood pressure
Question:
Signs and symptoms of fluid imbalance.
Answer:
Edema, hypertension, shortness of breath
Question:
Systemic effects of CKD what would you advise for a patient who complains of: dry
itchy skin, peripheral neuropathy(nerve pain in extremities) and gi problems.
Answer:
Use hyper-fatted soaps and lotions, monitor patient for changes in motor function and
inform RN and physician of any bleeding problems/constipation/diarrhea
Question:
What is the consequences of prolonged fluid overload and hypertension.
Answer:
Left ventricular hypertrophy
Question:
What is Percarditis?.
Answer:
Inflammation of the membrane (pericardial sac) around the heart
, Question:
What is a common cause of hypertension in dialysis patients.
Answer:
fluid overload
Question:
Left ventricular hypertrophy leads to.
Answer:
Ischemic heart disease, arrhythmia, myocardial infarction, and sudden death
Question:
Why are dialysis patients anemic?.
Answer:
1. the lifespan of their red blood cell is 60 days 1/2 of the normal 120 days.
Question:
What can you do to avoid contributing to lower hemoglobin and blood loss in dialysis
patients.
Answer:
Verify correct Erythropoietin Stimulating Agent (ESA) dose is administered, rinse back
until venous line is pink tinged, and avoid repeat lab draws
Question:
What are the 4 key elements contributing to CKD-mineral bone disorder(MBD).
Answer:
1. Calcium
Question:
Phosphorus
Question:
PTH
