Module 2: The Person with Kidney Failure

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* 1. As a technician, how can you help to prevent malnutrition in the patients you take care of?

Watch for real weight loss and listen to what they say about what they eat and drink

Be sure that all of your patients finish their protein drinks while they are at dialysis

Urge every patient to have a feeding tube placed for TPN, so it is ready just in case

Bring in high protein snacks, like beef jerky, and give them to your patients

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* 2. If the nephrologist prescribes it, which of these changes may help reduce organ stunning?

Slightly cooler dialysate

Slightly warmer dialysate

Slightly slower blood pump rate

Slightly faster blood pump rate

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* 3. Studies of nocturnal home hemodialysis have found that:

People may live about as long as if they got a deceased donor transplant

Blood pressure and calcium and phosphorus levels are higher

Dialysis-related amyloidosis and bone fractures are more likely

There is a greater likelihood of stunning and sudden cardiac death

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* 4. What is true about medical management without dialysis for people with CKD?

Some people with CKD can live for a year or two without dialysis

It is important to assess the patient for depression that could be treated

There are many reasons why a patient might choose this option

All of the above

None of the above

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* 5. The two ways to do peritoneal dialysis treatments are:

Manual exchanges and a cycler machine

Manual exchanges and telephonic monitoring

Cycler machine and telephonic monitoring

Cycler machine and home nurse visits

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* 6. Filtrate made by the kidneys becomes urine in what way?

The pyramids concentrate the filtrate into urine and send it to the bladder

Tubules send all of the filtrate the kidneys produce to the bladder as urine

Tubules reabsorb most of the filtrate and send 1-2 liters to the bladder as urine

The pyramids send the filtrate back into the blood and Bowman’s capsule makes urine

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* 7. Symptoms of metabolic acidosis may include:

Fatigue, weakness, rapid breathing, racing heartbeat, headaches, confusion

Fatigue, skin rash, slow breathing, slow heartbeat, ringing in the ears

Tremor, frequent urination, rapid breathing, racing heartbeat, vision loss

Tremor, difficulty breathing, slow heartbeat, muscle aches, confusion

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* 8. What is the target serum albumin level for people on dialysis to reduce the risk of death?

0.6 g/dL or greater

2.7 g/dL or less

3.5 g/dL or less

4.0 g/dL or greater

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* 9. Hyponatremia can occur if dialysate is not mixed correctly, and can cause:

Muscle cramps, confusion, headaches, and fatal brain swelling

Severe hunger, chattering teeth, itching, and double vision

Swelling in the legs, changes in heart rhythm, and muscle aches

Numbness in the lips and tongue, tremors, and ringing in the ears

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* 10. The purpose of a calyx in a healthy kidney is to:

Send drops of blood to the renal artery

Send drops of collected urine into the renal pelvis

Connect to the ureter to remove urine from the body

Test each drop of blood to see what needs to be removed