CNN Exam Review.

Of the following, which is not considered a calcium carbonate phosphate binder?

Explanation:

Correct Answer:
Amphojel

The calcium carbonate phosphate binders include:
Oscal 500
Tums 500
Caltrate 600
Chooz gum
Nephro-Calci
Tums Ultra
Calci-Mix
Calcichew

Deltasone is considered to be which of the following?

Explanation:

Correct Answer:
Corticosteroid

An example of a calcineurin inhibitor would be Prograf.
An example of a antiproliferative agent would be CellCept.
An example of a interleukin-2 receptor antogonists would be Simulect.
An example of a corticosteroid would be Deltasone.

Which of the following would be considered to be the most common problem with slow continuous
ultrafiltration (SCUF)?

Explanation:

Correct Answer:
The patient does not obtain the desired quantity of ultrafiltration.

The other 3 options above are incorrect.
With SCUF, the most common problem is the patient not obtaining the desired quantity of
ultrafiltration. The cause of this is that there may be clotting of the hemofilter or a
decrease in blood flow through the circuit.
Other causes of a low ultrafiltration rate can be:
A kink in the tubing
A problem with the patient’s access.
A drop in the patient’s arterial pressure.

A hemodialysis patient is having chest pain, shortness of breath,
nausea and vomiting, and is diaphoretic. Which of the following
interventions would not be correct for this patient?

Explanation:

Correct Answer:
Increase the UF rate temporarily.

Oxygen and chest pain medication should be given immediately.
When the patient is experiencing chest pain accompanied by the
above symptoms, the UF rate would be decreased, not increased.
If the chest pain becomes severe, the dialysis should be discontinued.

Desirable hemoglobin would be a care indicator for the end-stage
renal disease patient. In addition, other care indicators could include all
of the following except?
 

Explanation:

Correct Answer:
Uncontrolled blood pressure

The care indicators for the end-stage renal disease patient
could include:
Controlled blood pressure
Adequacy of the dialysis
Optimal nutritional status
Desirable hemoglobin

As the chronic renal patient's condition deteriorates, which of the following would not be
considered correct?

Explanation:

Correct Answer:
Discharge the patient without follow-up care.

The patient should not be discharged without follow-up care.
In addition to referral of the patient to a nephrologist and involving the
renal dietitian and pharmacist, other options can include:
Referral to a general surgeon for the placement of dialysis lines if the patient
has made the decision for peritoneal dialysis.
Referral to a vascular surgeon if the patient has made the decision to have hemodialysis.

For people with kidney disease, rehabilitation is a means to a better quality of life that can
produce which of the following outcomes?
 

Explanation:

Correct Answer:
All of the Above

Rehabilitation is a progress and depends on several factors including the patient's
motivation and desire to learn. Many people achieve a satisfying state of rehabilitation
and the these outcomes impact their well-being on many levels.

Which of the following would be considered layers of the peritoneum?

Explanation:

Correct Answer:
All of the above

The peritoneum has 3 layers.
These layers are:
Mesothelium
Basement membrane
Interstitium

Which of the following would not be considered a stage of kidney transplant rejection?

Explanation:

Correct Answer:
Middle

There is not a middle stage.
The hyperacute stage of rejection typically occurs within minutes to hours of the
kidney transplant.
The chronic stage of rejection typically occurs over a period of months or maybe
even years after the transplant is done.
The acute stage of rejection typically happens days to weeks after the kidney transplant.

One of the complications with peritoneal dialysis would be pain on inflow. Which of the
following could be considered a cause for this complication?