1. The most common indicator of acute renal failure is
Answer
Azotemia
2. A patient had excessive blood loss and prolonged hypotension during surgery. His
postoperative urine output is sharply decreased and his blood urea nitrogen (BUN) is elevated.
The most likely cause for the change is acute
Answer
ischemic tubular necrosis.
3. A patient is beginning to recover from acute tubular necrosis.The recovery phase of ATN is
characterized by
Answer
diuresis.
4. Regardless of the cause, chronic kidney disease results in progressive per- manent loss of
nephrons, glomerular filtration and renal
Answer
endocrine functions.
5. As chronic kidney disease progresses, the second stage (renal insufficien- cy) is identified by
Answer
isotonic polyuria
,6. Both high-turnover and low-turnover renal osteodystrophy, the skele- tal complications of
chronic kidney disease, are manifested by abnormal
and defective bone .
Answer
absorption; remodeling
7. Impaired skin integrity and skin manifestations are common in persons with chronic kidney
disease. Pale skin and subcutaneous bruising are often present as a result of
Answer
impaired platelet function.
8. When acute tubular necrosis (ATN) has occurred instead of prerenal azotemia, laboratory
test findings will show the presence of excessive urine
Answer
protein
9. Manifestations of childhood renal disease are varied and may differ from adult onset renal
failure. Features of childhood chronic kidney disease in- clude
Answer
developmental delays
, 10. Reduced glomerular filtration rate (GFR), with a serum creatinine level that remains in the
normal range, is associated with aging because is re
Answer
muscle mass
11. An 86-year-old female patient has been admitted to the hospital for the treatment of
dehydration and hyponatremia after she curtailed her fluid intake to prevent urinary incontinence.
The patients most recent laboratory results are suggestive of acute renal failure. How would this
patients renal failure be categorized?
Answer
Prerenal
12. A patient with significant burns on his lower body has developed sepsis on the third day
following his accident. Which of the following developments is most clearly suggestive of
ischemic acute tubular necrosis rather than prerenal failure?
Answer
The patients GFR does not increase after restoration of renal blood flow.
13. Which of the following individuals likely faces the greatest risk for the development of
chronic kidney disease?
Answer
A patient with a recent diagnosis of type 2 diabetes who does not monitor his blood sugars or
control his diet
14. The primary care provider for a newly admitted hospital patient has added the glomerular
filtration rate (GFR) to the blood work scheduled for this morn- ing. The patients GFR will be
extrapolated from serum levels of
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