Medical Quiz

Renal Replacement Therapies Quiz

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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.


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 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 a common skin problem experienced by dialysis patients?

A. Acne

B. Psoriasis

C. Eczema

D. Pruritis


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


During hemodialysis, wastes are removed from the patient’s blood by:

A. Osmosis

B. Diffusion

C. Filtration

D. Ultrafiltration


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


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


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


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.


During hemodialysis, excess fluid is removed by:

A. Osmosis

B. Diffusion

C. Filtration

D. Ultrafiltration


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 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


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


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


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