signs and symptoms
Which symptom is commonly caused by fluid overload in chronic kidney disease?
A. Dry cough
B. Edema
C. Jaundice
D. Hyperactivity
B. Edema
What's a normal creatnine?
A) 0.7-1.3
B) 3.5-5
C) 50-100
A) 0.7-1.3
ACE inhibitors and ARBs are primarily used in CKD to:
A. Increase potassium
B. Reduce proteinuria and control BP
C. Treat infections
D. Cure CKD
B. Reduce proteinuria and control BP
Which food is HIGH in potassium and may need to be limited?
A. Apples
B. Rice
C. Bananas
D. Bread
C. Bananas
How many times per week is hemodialysis commonly performed?
A. Once weekly
B. Twice daily
C. Three times weekly
D. Once monthly
C. Three times weekly
Fluid overload in CKD presents as:
A. Dry mucous membranes
B. Edema and crackles in lungs
C. Weight loss
D. Hypotension
B. Edema and crackles in lungs
Which diagnostic test visualizes kidney size and possible obstructions?
A. MRI of the brain
B. Renal ultrasound
C. Colonoscopy
D. Echocardiogram
B. Renal ultrasound
Which medication helps manage renal anemia?
A. Ibuprofen
B. Epoetin Alfa
C. Acetaminophen
D. Calcium carbonate
B. Epoetin Alfa
Excess potassium can cause:
A. Skin rash
B. Cardiac arrhythmias
C. Hair growth
D. Blurred vision
B. Cardiac arrhythmias
Peritoneal dialysis uses which structure as a filter?
A. Liver
B. Lungs
C. Peritoneal membrane
D. Bladder
C. Peritoneal membrane
Which urinary change is often seen in late-stage kidney disease?
A. Polyuria
B. Oliguria
C. Hematuria
D. Dysuria
B. Oliguria
A GFR below 15 mL/min indicates:
A. Stage 1 CKD
B. Mild kidney impairment
C. End-stage renal disease
D. Normal kidney function
C. End-stage renal disease
Phosphate binders should be taken:
A. Before bedtime only
B. On an empty stomach
C. With meals
D. After exercise
C. With meals
The recommended sodium limit for many CKD patients is:
A. 5,000 mg/day
B. 4,000 mg/day
C. Less than 2,300 mg/day
D. No sodium restriction
C. Less than 2,300 mg/day
Which nursing intervention is essential for accurate fluid balance monitoring?
A. Weekly temperature checks
B. Strict intake and output monitoring
C. Limiting visitors
D. Bed rest at all times
B. Strict intake and output monitoring
Which lab related abnormality contributes to muscle cramps in CKD?
A) elevated hgb
B) electrolyte imbalance
C) increased WBC
B) electrolyte imbalance
Which is a key diagnostic indicator of worsening CKD is decreasing?
A. calcium level
B. GFR
C. platelet count
B. GFR
Which diuretic is commonly used to reduce fluid overload?
A. Metformin
B. Furosemide
C. Warfarin
D. Digoxin
B. Furosemide
Which meal is MOST appropriate for a CKD patient?
A. Ham, potato chips, and cola
B. Grilled chicken, white rice, and green beans
C. Pepperoni pizza and fries
D. Banana smoothie and salted peanuts
B. Grilled chicken, white rice, and green beans
Which nursing intervention best helps prevent falls in a CKD patient with weakness and fatigue?
A. Encourage rapid ambulation
B. Keep the bed in high position
C. Implement fall precautions and assist with ambulation
D. Restrict all movement permanently
C. Implement fall precautions and assist with ambulation
Which blood disorder is commonly seen in CKD patients?
A) Leukocytosis
B) Anemia
C) polycythemia
B) Anemia
Procedure that removes kidney tissue to diagnose specific disease
A) renal biopsy
B) ultrasound
C) CT
A) renal biopsy
Which over-the-counter medication should CKD patients avoid because it is nephrotoxic?
A. Vitamin C
B. NSAIDs like ibuprofen
C. Calcium supplements
D. Antacids
B. NSAIDs like ibuprofen
Which of the following foods would be BEST for a CKD patient on a low-potassium diet?
A. Baked potato
B. Banana smoothie
C. White rice
D. Orange juice
C. White rice
A CKD patient develops shortness of breath, crackles in the lungs, edema, and rapid weight gain. What serious complication should the nurse suspect?
A. Pulmonary edema
B. Appendicitis
C. Migraine
D. Hyperthyroidism
A. Pulmonary edema