Chronic Kidney Disease Case Study – Flashcards
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What is the best description of CKD?
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It is a fatal disorder unless renal replacement therapy is received.
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What additional information is Louellen's history may be related to the onset of ESRD?
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hypertension
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Which lab value is likely to be decreased in a client with chronic kidney disease?
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serum calcium
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What is the underlying pathology causing this abnormal lab value?
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fewer red blood cells are being formed
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What is the correct interpretation of these ABGs? pH 7.35 PO2 96.00 mmHg PCo2 30.00 mmHg HCO3 18.00 mEq/L
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metabolic acidosis (compensated)
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Which additional assessment finding is consistent with ESRD?
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yellow-gray pallor
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Which explanation best describes the pathology resulting in her hypertension
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Activation of the renin-angiotensin cycle and excretion of aldosteron causes hypertension
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Which assessment finding indicates to the nurse that the desired outcome of the calcium acetate (Phoslo) has been achieved?
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serum phosphorous of 4.0 mg/dl
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what assessment should the nurse perform to determine if the desired outcome of captopril (capoten has been achieved?
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blood pressure
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which assessment data indicates to the nurse that the desired outcome for epoetin alfa (Epogen) has been achieved
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conjunctival sac returns to a reddish-pink color
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based on the diagnoses, which nursing intervention should be included in Louellen's plan of care?
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monitor and record daily weights
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The nurse's response is based on what understanding?
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eggs are a source of high biologic value protein
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How much fluid will Louellen be allowed to drink during the next 24 hours?
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720 ml of fluid
