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Practice Exam for CDN Course questions #2 an Answers

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Practice Exam for CDN Course questions #2 an Answers Allw ofw thew followingw arew characteristicsw ofw Nephriticw Syndromew withw the exceptionw of? w Azotemiaw w Hypertensionw w Hypercoagulabilityw w Hematuriaw-w CORRECTw ANSWER-Correctw Answer: Hypercoagulability Hypercoagulabilityw wouldw bew aw characteristicw ofw Nephroticw Syndrome. Thew characteristicsw ofw Nephriticw Syndromew are: Azotemia Hypertension Hematuria Mildw orw now Proteinuria Activew Urinew Sediment Allw ofw thew followingw nursingw interventionsw shouldw bew implementedw tow help preventw infectionsw duringw peritonealw dialysisw treatments,w except?

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Practice Exam for CDN Course
questions #2 an Answers

AllwofwthewfollowingwarewcharacteristicswofwNephriticwSyndromewwithwthe

exceptionwof?

Azotemiaw
w

Hypertensionw
w

Hypercoagulabilityw
w

Hematuriaw-wCORRECTwANSWER-CorrectwAnswer:
w

Hypercoagulability

HypercoagulabilitywwouldwbewawcharacteristicwofwNephroticwSyndrome.

ThewcharacteristicswofwNephriticwSyndromeware:

Azotemia

Hypertension

Hematuria

MildworwnowProteinuria

ActivewUrinewSediment

Allwofwthewfollowingwnursingwinterventionswshouldwbewimplementedwtowhelp

preventwinfectionswduringwperitonealwdialysiswtreatments,wexcept?

Observewthewclaritywandwthewcolorwofwtheweffluent.w
w

Onlywchangewthewexit-sitewdressingwwhenwitwbecomeswsoiled.w
w

,Observewstrictwasepticwtechniqueswduringwcatheterwdressingwchanges.w
w

wMonitorwthewpatient'swrenalwbloodwureawnitrogenwandwcreatininewclearancewlevels.w-wCORRECTwANSWER-
CorrectwAnswer:

Onlywchangewthewexit-sitewdressingwwhenwitwbecomeswsoiled.

Thewexit-sitewdressingwiswtypicallywchangedwdailyworwmorewoftenwifwthe

circumstancewwarrantswit.wThewpolicywandwprocedureswofwthewfacilitywneed

towbewfollowedwforwthewchangingwofwthewexit-sitewdressing.wThewotherw3

optionswabovewwouldwbewinterventionswthatwcouldwbewimplementedwtowhelp

preventwinfections.

Allwofwthewfollowingwshouldwmakewthewphysicianwsuspiciouswofwrenal

arterywstenosiswinwawpatientwexcept?

a.wDecreasedwrenalwfunction.w
w

b.wAwcontrolledwbloodwpressurewwithw1worw2wbloodwpressurewmedications.w
w

c.wUncontrolledwbloodwpressurewwithwatwleastw3wbloodwpressurewmedicationswat
w

nearwmaximumwdoses.w

d.wKnownwvascularwdisease.w-wCORRECTwANSWER-CorrectwAnswer:
w

Awcontrolledwbloodwpressurewwithw1worw2wbloodwpressurewmedicationswatwnear

maximumwdoses.

Whenwawphysicianwiswcaringwforwawpatientwthatwiswonw3worwmorewblood

pressurewmedicationswatwthewnearwmaximumwdosewandwthewpatientswblood

pressurewiswstillwuncontrollable,wthenwtheywshouldwbewsuspiciouswof

renalwarterywstenosis.wInwaddition,wifwthewpatientwalreadywhaswknown

vascularwdiseasewandwawdecreasedwrenalwfunction,witwwouldwmakewthemwa

morewlikelywcandidatewforwthiswcondition.

,Allwofwthewfollowingwwouldwbewconsideredwawcommonwagentwthatwcanwcontribute

towkidneywdiseasewexcept?

Glucosew
w

Contrastwmediaw
w

Drugsw
w

Heavywmetalsw-wCORRECTwANSWER-CorrectwAnswer:
w

Glucose

Glucosewiswnotwanwagentwthatwtypicallywcontributeswtowkidneywdisease.

Contrastwmedia,wdrugs,wandwheavywmetalswcanwcontributewtowkidneywdisease.

Thewkidneyswarewawfrequentwtargetwforwtoxicwinjury,wbecausewtheywarewthe

majorwroutewofwexcretionwforwawnumberwofwdrugs.

Allwofwthewfollowingwwouldwbewconsideredwinhibitorswofwdrugwmetabolismwexcept?

Erythromycinw
w

Grapefruitwjuicew
w

Rifampinw
w

Cimetidinew-wCORRECTwANSWER-CorrectwAnswer:
w

Rifampin

Rifampinwwouldwbewanwinducerwofwdrugwmetabolism.

Erythromycin,wgrapefruitwjuice,wandwcimetidinewwouldwbewinhibitorswofwdrugwmetabolism.

Allwofwthewfollowingwwouldwbewtakenwintowconsiderationwwhenwofferingwa

patientwdialysiswexcept?

, Awlifewexpectancywofwmorewthanw60wdays.w
w

Awpatientwthatwiswnotwdyingwfromwawnonrenalwcause.w
w

Thewpatientwthatwhaswawlifewexpectancywofwlesswthanw30wdays.w
w

wThewpatientwthatwpossesseswthewabilitywtowinteractwwithwthewenvironment.w-wCORRECTwANSWER-
CorrectwAnswer:

Thewpatientwthatwhaswawlifewexpectancywofwlesswthanw30wdays.

Whenwtalkingwwithwthewpatientwand/orwsurrogates,wthewprincipleswof

autonomy,wbeneficence,wnonmaleficence,wandwjusticewshouldwbewutilized

andwtemperedwwithwthewinformedwconsent,wobligations,wprofessionalwduties,

andwsharedwdecisionwmaking.wThewabovew3woptionswshouldwbewtakenwinto

considerationwpriorwtowofferingwthewpatientwdialysis.wIfwthewpatientwdoes

notwmeetwthesewoptions,wtheywmaywstillwbewofferedwshortwtimewdialysis.

Atwwhichwpointwwhenwevaluatingwawpatientwwithwkidneywdiseasewwouldwthewpatientwbe

referredwtowawnephrologistwbewappropriate?

Unexplainedwanemiaw+weGFRw<60wmL/min/1.73m2w
w

eGFRw<30wmL/min/1.73wm2w
w

ACRw>30wmg/mmolw(300wmg/g)w
w

Allwofwthewabovew-wCORRECTwANSWER-CorrectwAnswer:
w

Allwofwthewabove

Referralwtowawnephrologistwmightwbewconsideredwappropriate:

Unexplainedwanemiaw+weGFR<60wmL/min/1.73m2.

eGFRw<30wmL/min/1.73wm2

ACRw>30wmg/mmolw(300wmg/g)

Hypertensionwhardwtowgetwtowtargetwdespite

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