Mr. M has been diagnosed with chronic kidney disease Stage 5 and is going to be requiring dialysis. His initial laboratory work came back and he has low Na, Cl, and Ca levels as well as high K and P levels. The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction. The physician has placed Mr. M on a diuretic. A good measure of how he is responding to this medication would be:
a. I & Os.
b. albumin.
c. phosphorus.
d. calcium.
Q. 2Mr. M has been diagnosed with chronic kidney disease Stage 5 and is going to be requiring dialysis. His initial laboratory work came back and he has low Na, Cl, and Ca levels as well as high K and P levels. The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction. Why are Mr. M's Na and Cl low?
a. because he has not consumed enough foods that are rich in Na and Cl
b. because of the effect of the P and K on these electrolytes
c. because he is excreting too much fluid
d. because he is retaining too much fluid
Q. 3Mr. M has been diagnosed with chronic kidney disease Stage 5 and is going to be requiring dialysis. His initial laboratory work came back and he has low Na, Cl, and Ca levels as well as high K and P levels. The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction. One of the reasons for his high P could be:
a. the P restriction is altering the levels in the blood.
b. high PTH.
c. low Ca.
d. high K.
Q. 4Mr. M has been diagnosed with chronic kidney disease Stage 5 and is going to be requiring dialysis. His initial laboratory work came back and he has low Na, Cl, and Ca levels as well as high K and P levels. The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction. One of the reasons for the physician's order for a potassium restriction could be:
a. potassium interacts with kidney disease medications.
b. high potassium levels stimulate the secretion of aldosterone by the adrenal glands.
c. high potassium levels cause the retention of vasopressin.
d. potassium directly interacts with calcium.
Q. 5Mr. M has been diagnosed with chronic kidney disease Stage 5 and is going to be requiring dialysis. His initial laboratory work came back and he has low Na, Cl, and Ca levels as well as high K and P levels. The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction. The type of fluid involved in Mr. M's imbalance is:
a. intracellular.
b. transcellular.
c. extracellular.
d. pericardial.
Q. 6Mr. M has been diagnosed with chronic kidney disease Stage 5 and is going to be requiring dialysis. His initial laboratory work came back and he has low Na, Cl, and Ca levels as well as high K and P levels. The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction. Which of the following is contributing to Mr. M's fluid imbalance?
a. diseased kidneys
b. excessive urine output
c. aldosterone secretion exceeding production
d. excessive thirst
Q. 7The most common cause of hyperkalemia is:
a. an increase of excretion of calcium.
b. inadequate excretion of potassium.
c. an increase in excretion of potassium.
d. inadequate excretion of calcium.
Q. 8The most common cause of hypervolemia is:
a. an increase in urine output.
b. an increase in excretion of potassium.
c. a decrease in urine output.
d. inadequate excretion of potassium.
Q. 9The accumulation of fluid in interstitial spaces is called:
a. hyperkalamia.
b. ascites.
c. edema.
d. hypervolemia.
Quick Reply
