Certified Nephrology Nurse study guide-
Graded A
uremia Is responsible for several g I complaints list the four most common ones - -
Correct Answer-metallic taste, fetid breath from decomposing urea, g I bleeding due to
low platelet count and ammonia or hyperkalemia which may cause diarrhea
define osteomalacia - -Correct Answer-calcification problems
define osteitis fibrosa - -Correct Answer-replacement of bone with fibrous tissue
define osteoporosis - -Correct Answer-reduction of bone mineral density
define osteosclerosis - -Correct Answer-significant increase in bone density
what are the symptoms of osteodystrophy, what is the treatment? - -Correct Answer-
back pain, foot pain, fractures, joint pain, itching and gangrene
what neurological changes occur due to uremia - -Correct Answer-they range from
inattention to coma, insomnia, restlessness and anorexia are all seen with azotemia,
anxiety, depression, agitation and fatigue
explain the correlation with the respiratory system and end stage renal failure - -Correct
Answer-left ventricular dysfunction and excessive fluid volume may lead to pulmonary
edema coincided with pulmonary infections, fungal and viral.
explain fertility and end stage renal disease - -Correct Answer-infertility in both sexes is
common, pregnancy rates are low, may result in low birth weight
what is the etiology of anemia found in uremic patients - -Correct Answer-the small
amount of red blood cells that do form are usually abnormal, one cause is the
decreased production of erythropoietin another is the inability to absorb iron, also the
life span of the red blood cells diminishes, platelet abnormalities can lead to bleeding of
the gums, the dialyzer may leak during dialysis, excess labs at treatment
how do the kidneys influence bone health and what are the effects of kidney disease on
this process - -Correct Answer-the kidneys function to maintain calcium and
phosphorous levels, the hormone calcitriol also know as vitamin D 3, produced by the
kidney enables absorption of calcium from blood sources, when kidney function
decreases causes calcium levels to drop and phosphorous levels increase the body
responds by increasing the parathyroid hormone which functions to raise serum blood
Graded A
uremia Is responsible for several g I complaints list the four most common ones - -
Correct Answer-metallic taste, fetid breath from decomposing urea, g I bleeding due to
low platelet count and ammonia or hyperkalemia which may cause diarrhea
define osteomalacia - -Correct Answer-calcification problems
define osteitis fibrosa - -Correct Answer-replacement of bone with fibrous tissue
define osteoporosis - -Correct Answer-reduction of bone mineral density
define osteosclerosis - -Correct Answer-significant increase in bone density
what are the symptoms of osteodystrophy, what is the treatment? - -Correct Answer-
back pain, foot pain, fractures, joint pain, itching and gangrene
what neurological changes occur due to uremia - -Correct Answer-they range from
inattention to coma, insomnia, restlessness and anorexia are all seen with azotemia,
anxiety, depression, agitation and fatigue
explain the correlation with the respiratory system and end stage renal failure - -Correct
Answer-left ventricular dysfunction and excessive fluid volume may lead to pulmonary
edema coincided with pulmonary infections, fungal and viral.
explain fertility and end stage renal disease - -Correct Answer-infertility in both sexes is
common, pregnancy rates are low, may result in low birth weight
what is the etiology of anemia found in uremic patients - -Correct Answer-the small
amount of red blood cells that do form are usually abnormal, one cause is the
decreased production of erythropoietin another is the inability to absorb iron, also the
life span of the red blood cells diminishes, platelet abnormalities can lead to bleeding of
the gums, the dialyzer may leak during dialysis, excess labs at treatment
how do the kidneys influence bone health and what are the effects of kidney disease on
this process - -Correct Answer-the kidneys function to maintain calcium and
phosphorous levels, the hormone calcitriol also know as vitamin D 3, produced by the
kidney enables absorption of calcium from blood sources, when kidney function
decreases causes calcium levels to drop and phosphorous levels increase the body
responds by increasing the parathyroid hormone which functions to raise serum blood
