EXIT Module 2: The Person with Kidney Failure Question Title * 1. 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 OK Question Title * 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 OK Question Title * 3. 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 OK Question Title * 4. 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 OK Question Title * 5. 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 OK Question Title * 6. 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 OK Question Title * 7. 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 OK Question Title * 8. 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 OK Question Title * 9. 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 OK Question Title * 10. 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 OK DONE