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620 Adult - Renal System
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620 Adult - Renal System NP Certification, Fitzgerald 4th ed.
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620 Adult - Renal System NP Certification,Fitzgerald 4th ed.
. hypophosphatemia - ANSWER: all of the following electrolyte disorders are commonly
found in a person with chronic renal failure except:
a. hypernatremia
b. hypercalcemia
c. hyperkalemia
d. hypophosphatemia
d. type I DM - ANSWER: all of the following are common precipitating factors in acute
renal failure except:
a. anaphylaxis
b. infection
c. MI
d. type I DM
c. hypotension - ANSWER: common causes of chronic renal failure include all of the
following except:
a. type 2 DM
b.recurrent pyelonephritis
c. hypotension
d.polycystic kidney disease
b. ACEi - ANSWER: the use of which of the following medications can precipitate acute
renal failure in a patient with bilateral renal artery stenosis?
a. corticosteroids
b. ACEi
c. beta-adrenergic antagonists
d. cephalosporins
d. postrenal azotemia - ANSWER: a 78 y/o male presents with fatigue and difficulty with
bladder emptying. Exam reveals a distended bladder but is otherwise unremarkable.
The BUN is 88mg/dl (31.4mmol/L); the creatinine is 2.8mg/dl (247.5mmol/L). This
clinical assessment is most consistent with:
a. prerenal azotemia
b. acute glomerulonephritis
c. acute tubular necrosis
d. postrenal azotemia
, a. prerenal azotemia - ANSWER: a 68 y/o female with heart failure presents with
tachycardia, S3 heart sound, and basilar crackles bilaterally. BP is 90/68; BUN is
58mg/dl; creatinine is 2/4mg/dl. This clinical presentation is most consistent with:
a. prerenal azotemia
b. acute glomerulonephritis
c. acute tubular necrosis
d. postrenal azotemia
a. persistent proteinuria - ANSWER: which of the following is found early in the
development of chronic renal failure:
a. persistent proteinuria
b. elevated creatinine level
c. acute uremia
d. hyperkalemia
c. elevated BUN; normal serum creatinine - ANSWER: you see a 63 y/o male with a
suspected upper GI bleed. Expected laboratory findings would include:
a. elevated BUN; elevated serum creatinine
b. normal BUN; elevated serum creatinine
c. elevated BUN; normal serum creatinine
d. lowered BUN; elevated serum creatinine
reducing efferent arteriolar resistance - ANSWER: ACEi can limit the progression of
some forms of renal disease by:
d. hypotension - ANSWER: objective findings in patients with glomerulonephritis include
all of the following except:
a. edema
b. urinary RBC casts
c. proteinuria
d. hypotension
50% - ANSWER: an increase in creatinine from 1 to 2 mg/dl is typically seen with a
_____ % loss in renal function
approximates the glomerular filtration rate (GFR) - ANSWER: creatinine clearance
usually:
a product related to skeletal muscle metabolism - ANSWER: what best describes
creatinine?
< than 10 mg/dl - ANSWER: guidelines recommend considering initiating tx with an
erythropoiesis-stimulating agent (ESA) for patients with chronic renal failure and a Hgb
level of
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