Mr. M has been diagnosed with chronic kidney disease Stage 5, requiring dialysis. His initial chemistries panel indicates he has low sodium, chloride and calcium levels as well as high potassium and phosphorus 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. serum PTH concentration
b. serum albumin concentration
c. serum phosphorus concentration
d. fluid inputs and outputs
e. serum calcium concentration
Q. 2In addition to restriction of dietary phosphorus, most patients use phosphate _______________ to prevent gastrointestinal absorption of dietary phosphorus.
Fill in the blank(s) with correct word
Q. 3Which of the following inflammatory conditions of the oral cavity occurs with a fungal infection such as Candida albicans?
a. Cheilosis
b. Stomatitis
c. Glossitis
d. Gingivitis
Q. 4Mr. M has been diagnosed with chronic kidney disease Stage 5, requiring dialysis. His initial chemistries panel indicates he has low sodium, chloride and calcium levels as well as high potassium and phosphorus levels. The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction.One of the reasons for his high phosphorus could be:
a. the P restriction is altering the levels in the blood
b. hypoglycemia
c. low magnesium
d. high potassium
e. low calcium
Q. 5CKD patients are unable to synthesize adequate amounts of endogenous _______________, a hormone that is made by renal tubular cells and important for production of red blood cells.
Fill in the blank(s) with correct word
Q. 6Which aspect of saliva contributes to the development of dental caries?
a. Salivary amylase
b. The pH of saliva
c. Salivary lysozyme
d. The electrolyte composition of saliva
Q. 7Mr. M has been diagnosed with chronic kidney disease Stage 5, requiring dialysis. His initial chemistries panel indicates he has low sodium, chloride and calcium levels as well as high potassium and phosphorus levels. The physician has put him on a fluid restriction, a potassium restriction, and a phosphorus restriction.What is one reason that a physician might order a potassium restriction?
a. potassium interacting with kidney disease medications
b. high potassium levels stimulating the secretion of aldosterone by the adrenal glands
c. high potassium levels causing the retention of vasopressin
d. potassium directly interacting with calcium
e. diet containing very high levels of potassium
Quick Reply
