Renal Replacement Therapies Quiz
Preview:
How are toxins and wastes removed in hemodialysis?
A. By filtration
B. By diffusion
C. By ultrafiltration
D. By osmosis
What are the main renal replacement therapies?
A. Hemodialysis and peritoneal dialysis
B. Peritoneal dialysis and kidney transplantation
C. Kidney transplantation and hemodialysis
D. Peritoneal dialysis and hemodialysis
What is a common skin problem experienced by dialysis patients?
A. Acne
B. Psoriasis
C. Eczema
D. Pruritis
The client newly diagnosed with chronic renal failure recently has begun hemodialysis. Knowing that the client is at risk for disequilibrium syndrome, the nurse assesses the client during dialysis for:
A. Hypertension, tachycardia, and fever.
B. Hypotension, bradycardia, and hypothermia.
C. Restlessness, irritability, and generalized weakness.
D. Headache, deteriorating level of consciousness, and twitching.
During hemodialysis, wastes are removed from the patient’s blood by:
A. Osmosis
B. Diffusion
C. Filtration
D. Ultrafiltration
What is the purpose of strict asepsis with catheter care in dialysis patients?
A. To prevent electrolyte imbalances
B. To prevent hypertension
C. To prevent infection
D. To prevent hypotension
The nurse recognizes that which of the following is an indication to begin dialysis?
A. When the client is no longer able to tolerate medications.
B. Once the GFR reaches 25.
C. Less than 20% of nephrons are still functioning.
D. When the client reaches stage 3 CKD.
What is a common complication experienced during hemodialysis?
A. Hypertension
B. Fluid overload
C. Electrolyte imbalances
D. Infection
What is the preferred method of permanent vascular access for hemodialysis?
A. Femoral vein catheter
B. Arteriovenous fistula
C. Double-lumen catheter
D. Arteriovenous graft
What is a key nursing management consideration for patients on dialysis?
A. Monitor for signs of hyperthyroidism
B. Monitor for signs of uremia and electrolyte imbalance
C. Monitor for signs of hypoglycemia
D. Monitor for signs of dehydration
What is a dietary consideration for patients on dialysis?
A. Low sodium intake
B. Low fluid intake
C. Low protein intake
D. Low potassium intake
What should be avoided in medications for patients undergoing hemodialysis?
A. Medications containing iron and zinc
B. Medications containing sodium and calcium
C. Medications containing vitamin C and vitamin D
D. Medications containing potassium and magnesium
The nurse is caring for a client receiving peritoneal dialysis. The nurse notes that a client’s outflow has slowed considerably. Which of the following actions will the nurse take. SATA
A. Place the client in good body alignment.
B. Check the peritoneal dialysis system for kinks.
C. Check the level of the drainage bag.
D. Reposition the client to his or her side.
E. All above are true
What is the main function of hemodialysis?
A. Maintain electrolyte balance
B. Regulate fluid balance
C. Extract toxic substances from the blood and remove excess water
D. Filter the blood
The client with continuous ambulatory peritoneal dialysis (CAPD) has cloudy dialysate. Which of the following is the best initial nursing action?
A. Notify the provider and send fluid to the laboratory for culture
B. Administer antibiotic
C. Do nothing, this is expected
D. Stop the drainage of fluid
During hemodialysis, excess fluid is removed by:
A. Osmosis
B. Diffusion
C. Filtration
D. Ultrafiltration
What is the primary function of a dialyzer in hemodialysis?
A. To maintain electrolyte balance
B. To regulate fluid balance
C. To serve as a synthetic semipermeable membrane for filtering
D. To remove excess water
What is the purpose of a dialyzer in hemodialysis?
A. To regulate fluid balance
B. To maintain electrolyte balance
C. To serve as a synthetic semipermeable membrane for filtering
D. To remove excess water
A 40 y.o. male patient is undergoing hemodialysis with an internal AV fistula in place. What do you do to prevent complications associated with this device?
A. Insert I.V. lines above the fistula.
B. Palpate pulses above the fistula.
C. Report a bruit or thrill over the fistula to the doctor.
D. Avoid taking blood pressures in the arm with the fistula.
What is the content of the dialysate solution used in hemodialysis?
A. Water and electrolytes
B. Water, bicarbonate, and some electrolytes
C. Water and bicarbonate
D. Bicarbonate and electrolytes
What is the purpose of leg exercises and early ambulation for dialysis patients?
A. To prevent infection
B. To prevent dehydration
C. To prevent hypotension
D. To prevent DVT
The nurse is reviewing a list of components contained in the peritoneal dialysis solution with the client. The client asks the nurse about the purpose of the glucose contained in the solution. The nurse bases the response knowing that the glucose:
A. Decreases risk of peritonitis.
B. Prevents excess glucose from being removed from the client.
C. Increased osmotic pressure to produce ultrafiltration.
D. Prevents disequilibrium syndrome.
What is the main purpose of hemodialysis?
A. To maintain electrolyte balance
B. To filter the blood
C. To regulate fluid balance
D. To remove excess water
What are the goals of hemodialysis? SATA
A. Removal of waste products
B. Regulation of fluid balance
C. Correction of electrolyte and acid/base balance
D. All above are true
The client with chronic renal failure is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril. The nurse should plan to administer this medication:
A. During dialysis
B. Just before dialysis.
C. The day after dialysis.
D. On return from dialysis.
Disclaimer:
Medical Quiz should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional. All content on this website is for informational and educational purposes only.