Concept & A&P
Risk Factors & Diagnostics
Assessment & Complication Prevention
Nursing & Collaborative Care
Lifespan and Diversity Considerations
Pharmacology
100

CKD and ESRD are exemplars of what concept?

What is elimination.

100

What laboratory value is primarily used to stage chronic kidney disease? 

What is the eGFR.

100

What peripheral assessment finding is indicative of fluid overload in CKD patients?

What is edema.

100

What is the preferred access method for long-term hemodialysis?

What is an AV fistula.

100

What age group is most at risk for developing chronic kidney disease?

What is older adults.

100

This class of medications are prescribed to clients with CKD and hypertension to decrease cardiovascular events?

What is ace inhibitors.

200

ESRD is what stage of chronic kidney disease?

What is stage 5.

200

Which condition is characterized by an increased protein level in urine?

What is proteinuria.

200

Syndrome characterized by mental status changes and can include seizures or coma due to rapid changes in blood chemistry during dialysis?

What is dialysis disequilibrium syndrome.

200

What is the key nursing intervention to monitor during hemodialysis? 

What is vital signs.

200

This population is disproportionately affected by end-stage renal disease (ESRD) in the U.S.?

What is African Americans (black).

200

The client prescribed sevelamer should be taught to report symptoms of muscle weakness, slow or irregular pulse, or confusion because these are symptoms of what?

What is hypophosphatemia.

300

Functional unit of the kidney?

What is a nephron.

300

In severe CKD, the nurse expects the BUN levels to be elevated, but less than those who are not restricting what?

What is protein.

300

Uremia is ___________ with symptoms.

What is azotemia.

300

What are 2  key nursing assessments when caring for an AV fistula?

What is auscultate for a bruit and palpate for a thrill.

300

What is a common complication of CKD in pediatric patients?

What is growth retardation/failure.

300

What is a key teaching point for clients newly prescribed ferrous sulfate?

What is remind patients to take a stool softener daily as this medication can cause constipation.

or 

What is remind patients that this medication can change the color of stool darker, or even black.

400

Structure in the nephron that is responsible for filtration?

What is a glomerulus.

400

In severe CKD what 2 lab values are used to determine the presence and degree of uremiea?

What is creatinine and BUN.

400

The nurse understands that what types of medications are typically given after dialysis instead of before to because they can contribute to hypotension during dialysis?

What is antihypertensive.

400

What is the primary goal of nursing care for patients with CKD regardless of the treatment setting?  

What is to prevent complications.

400

The most common cause of CKD in children?

What is renal congenital anomalies  (birth defects).

400

What is the name of the medication used to manage hyperkalemia in CKD?

What is sodium polystyrene sulfonate (Kalexate).

500

The problems that occur with kidney function loss are related to disturbances of what 2 interrelated concepts?

What is fluid and electrolyte balance and fluid and acid base balance.

500

What are the 2 main causes of CKD leading to dialysis or kidney transplantation?

What is hypertension and diabetes mellitus.

500

5 key features of uremia?

What is metallic taste in the mouth, anorexia, nausea, vomiting, muscle cramps, uremic frost on skin, fatigue and lethargy, hiccups, edema, dyspnea, paresthesias.

500

What is the typical duration for a single exchange of automated peritoneal dialysis?

What is 8-10 hours.

500

What is a significant risk factor for pregnant women with CKD?

What is preeclampsia.

500

A client is prescribed epoetin alfa injections what laboratory result is important to monitor drug effectiveness and safety?

What is hemoglobin.

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