March 2021

Question Title

* A patient who has been taking cinacalcet (Sensipar) is being switched to etelcalcetide (Parsabiv). When initiating treatment with Parsabiv, the Sensipar must be

The correct answer is a. discontinued for 7 days prior to administering Parsabiv.

Rationale: Sensipar should be discontinued for at least 7 days prior to starting Parsabiv, which should then be initiated at a starting dose of 5 mg.  Also, a corrected serum calcium level at or above the lower limit of normal must be ensured prior to Parsabiv initiation.

Reference: Amgen package insert for etelcalcetide (Parsabiv), 2017, p. 3

Question Title

* One helpful patient education technique is the Teach-Back method, which allows the nurse to

The correct answer is d. confirm that the patient understands the content.

Rationale: Teach Back is a way to confirm that the nurse has explained to the patient and/or family what they need to know in a manner that was understood. The understanding is confirmed when they explain the information back (Teach Back) to the nurse.

Reference: Bodin, S.M. (2017). Contemporary Nephrology Nursing, 3rd ed., pp. 145-146.

Question Title

* Water softeners in dialysis water treatment systems are used to

The correct answer is b. increase the life‑span of the reverse osmosis membrane.

Rationale: If feed water contains calcium and/or magnesium, these elements must be removed to prevent scaling of the reverse osmosis (RO) membrane. The softened water increases the life span of the RO membrane.

 Reference:  Bodin, S.M. (2017). Contemporary Nephrology Nursing, 3rd ed., p. 176
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