SOLUTION QUESTIONS AND ANSWERS
BUNDLED EXAMS GRADED A+
●● Convection:
Answer: Solutes dragged across SPM along with fluid
●● Hyperkalemia:
Answer: > 6.5 mEq Symptoms: extreme muscle weakness, abnormal
heart rhythm, and possible cardiac arrest
●● Hypokalemia:
Answer: < 3.5 mEq Symptoms: fatigue, muscle weakness, paralysis, and
respiratory failure, cardiac instability, arrhythmias, cardiac arrest
●● Normal blood pH range is
Answer: 7.35-7.45.
●● What are the kidneys' endocrine functions?
Answer: Renin secretion, Erythropoietin secretion, Vitamin D activation
●● What are the most common causes of CKD in the USA?
,Answer: • Diabetes
• Hypertension
• Polycystic Kidney Disease
●● Signs & Symptoms of fluid imbalance
Answer: Hypertension
• Edema
• Shortness of Breath
●● A common cause of hypertension in dialysis patients is
Answer: • fluid overload
●● What does hypertension lead to?
Answer: • Left Ventricular Hypertrophy
●● Left Ventricular Hypertrophy leads to:
Answer: • ischemic heart disease, arrhythmia, myocardial infarction, and
sudden death
●● Why are dialysis patients anemic? The life span of their red blood
cell is 60 days or approximately ½ of normal 120 days.
Answer: Primary cause: Lack of the hormone erythropoietin (EPO)
,Secondary causes: Inadequate iron stores, inadequate dialysis,
malnutrition, blood loss during treatment
●● What are the four key elements contributing to CKD-Mineral Bone
Disorder (MBD)?
Answer: • Calcium, Phosphorus, PTH, Vitamin D (Calcitriol)
- All lead to CKD-MBD when they are abnormal
●● Pre-renal causes of AKI
Answer: Obstruction, Volume Depletion, Impaired Cardiac Function
●● Intra-renal causes of AKI
Answer: Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs,
Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open Heart
Surgery
●● Post-renal causes of AKI
Answer: Obstruction, Oliguric, Bladder rupture, Pregnancy
●● Explain the difference between AKI and CKD
Answer: • Eliminating the cause of the AKI can often lead to the return
of kidney function
• You cannot eliminate the cause of CKD which is HTN, Diabetes,
genetic disorders (PKD)
, ●● What are V-tags and why are they important?
Answer: • They state specific regulations to be met within a condition
such as infection control, providing interpretive guidance for each
regulation and citing deficiencies by tag #
●● The manual conductivity value must match +/- 0.4 mS on the
Fresenius (FMC) 2008K and K2 dialysis delivery system displayed
conductivity. Checking independent conductivity is NOT required when
using the Fresenius 2008T or T BlueStar models or B Braun
hemodialysis machines.
T or F
Answer: T
●● What is "strikethrough" of an external pressure transducer and why is
it of concern?
Answer: • It is when fluid could have entered the machine and
contaminated the internal pressure transducer protector providing a
reservoir for microorganisms and causing subsequent patient blood
infections
●● List six occurrences when to document.
Answer: Baseline assessment
Change from baseline assessment