CNN Exam Review.

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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?

[pic 29] Restoration of well-being [pic 30] Emotional stability [pic 31] Social adjustment [pic 32] All of the Above

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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?

[pic 33] Interstitium [pic 34] Mesothelium [pic 35] Basement membrane [pic 36] All of the above

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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?

[pic 37] Middle [pic 38] Hyperacute [pic 39] Chronic [pic 40] Acute

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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?

[pic 41] Migration of the catheter [pic 42] Catheter resting against the pelvic wall [pic 43] Rapid infusion of the dialysate [pic 44] All of the above

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Explanation:

Correct Answer:All of the above

This complication can also be caused by hyperosmolarity of the dialysate or acidity of the

dialysate. Slowing the infusion of the dialysate can sometimes help. NaHco3 can be added to

increase the pH or local anesthesia, surgical revision or replacement of the catheter may be

necessary.

Kidney disease education is very important. All of the following would be

considered potential kidney disease risk factors except?

[pic 45] Being over the age of 60. [pic 46] Leukemia [pic 47] Diabetes mellitus [pic 48] Family history of kidney disease

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Explanation:

Correct Answer:Leukemia

Leukemia is not a typical risk factor for kidney failure.

Risk factors include:

Being over the age of 60.

Diabetes mellitus

Family history of kidney disease.

Hypertension

Kidney stones

Prolonged use of certain drugs such as NSAIDS.

If a dialysis patient decides to discontinue dialysis, which of the following

interventions might be appropriate for the dialysis team?

[pic 49] Advise the patient about the care they will need once dialysis is discontinued [pic 50] Tell them they do not have the right to stop dialysis. [pic 51] Refer them to a hospice program. [pic 52] Both A and C

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