Certified Nephrology Nurse study guide
uremia Is responsible for several g I complaints list the four most common onescorrect answermetallic
taste, fetid breath from decomposing urea, g I bleeding due to low platelet count and ammonia or
hyperkalemia which may cause diarrhea
define osteomalaciacorrect answercalcification problems
define osteitis fibrosacorrect answerreplacement of bone with fibrous tissue
define osteoporosiscorrect answerreduction of bone mineral density
define osteosclerosiscorrect answersignificant increase in bone density
what is the etiology of anemia found in uremic patientscorrect answerthe small amount of red blood
cells that do form are usually abnormal, one cause is the decreased production of erythropoietin
another is the inability to absorb iron, also the life span of the red blood cells diminishes, platelet
abnormalities can lead to bleeding of the gums, the dialyzer may leak during dialysis, excess labs at
treatment
how do the kidneys influence bone health and what are the effects of kidney disease on this
processcorrect answerthe kidneys function to maintain calcium and phosphorous levels, the hormone
calcitriol also know as vitamin D 3, produced by the kidney enables absorption of calcium from blood
sources, when kidney function decreases causes calcium levels to drop and phosphorous levels increase
the body responds by increasing the parathyroid hormone which functions to raise serum blood calcium
PTH causes the absorption of calcium from the bones back into the bloodstream leaving brittle bones in
place
what are the symptoms of osteodystrophy, what is the treatment?correct answerback pain, foot pain,
fractures, joint pain, itching and gangrene
what neurological changes occur due to uremiacorrect answerthey range from inattention to coma,
insomnia, restlessness and anorexia are all seen with azotemia, anxiety, depression, agitation and
fatigue
explain the correlation with the respiratory system and end stage renal failurecorrect answerleft
ventricular dysfunction and excessive fluid volume may lead to pulmonary edema coincided with
pulmonary infections, fungal and viral.
explain fertility and end stage renal diseasecorrect answerinfertility in both sexes is common, pregnancy
rates are low, may result in low birth weight
uremia Is responsible for several g I complaints list the four most common onescorrect answermetallic
taste, fetid breath from decomposing urea, g I bleeding due to low platelet count and ammonia or
hyperkalemia which may cause diarrhea
define osteomalaciacorrect answercalcification problems
define osteitis fibrosacorrect answerreplacement of bone with fibrous tissue
define osteoporosiscorrect answerreduction of bone mineral density
define osteosclerosiscorrect answersignificant increase in bone density
what is the etiology of anemia found in uremic patientscorrect answerthe small amount of red blood
cells that do form are usually abnormal, one cause is the decreased production of erythropoietin
another is the inability to absorb iron, also the life span of the red blood cells diminishes, platelet
abnormalities can lead to bleeding of the gums, the dialyzer may leak during dialysis, excess labs at
treatment
how do the kidneys influence bone health and what are the effects of kidney disease on this
processcorrect answerthe kidneys function to maintain calcium and phosphorous levels, the hormone
calcitriol also know as vitamin D 3, produced by the kidney enables absorption of calcium from blood
sources, when kidney function decreases causes calcium levels to drop and phosphorous levels increase
the body responds by increasing the parathyroid hormone which functions to raise serum blood calcium
PTH causes the absorption of calcium from the bones back into the bloodstream leaving brittle bones in
place
what are the symptoms of osteodystrophy, what is the treatment?correct answerback pain, foot pain,
fractures, joint pain, itching and gangrene
what neurological changes occur due to uremiacorrect answerthey range from inattention to coma,
insomnia, restlessness and anorexia are all seen with azotemia, anxiety, depression, agitation and
fatigue
explain the correlation with the respiratory system and end stage renal failurecorrect answerleft
ventricular dysfunction and excessive fluid volume may lead to pulmonary edema coincided with
pulmonary infections, fungal and viral.
explain fertility and end stage renal diseasecorrect answerinfertility in both sexes is common, pregnancy
rates are low, may result in low birth weight
