Acidosis Treatment and Management

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Questions and Answers

What is the approximate annual increase in incidence of ESRD over the past 5 years?

  • 5%
  • 12%
  • 10%
  • 8% (correct)

What is the leading cause of ESRD?

  • Hypertension
  • Diabetes mellitus (correct)
  • Pyelonephritis
  • Chronic glomerulonephritis

What percentage of ESRD cases in the United States and Europe is caused by autosomal dominant polycystic kidney disease?

  • 15% to 18%
  • 5% to 7%
  • 12% to 15%
  • 8% to 10% (correct)

What is the eventual outcome for patients with ESRD?

<p>Dialysis or kidney transplantation (B)</p> Signup and view all the answers

What is the term for the accumulation of waste products in the blood due to declining renal function?

<p>Uremia (C)</p> Signup and view all the answers

How many stages of chronic renal disease are recognized?

<p>3 (D)</p> Signup and view all the answers

What factors influence the rate of decline in renal function and progression of chronic renal failure?

<p>Underlying disorder, urinary excretion of protein, and presence of hypertension (B)</p> Signup and view all the answers

Why do patients who excrete significant amounts of protein or have elevated blood pressure tend to progress more rapidly to ESRD?

<p>Because their kidneys are more susceptible to damage (B)</p> Signup and view all the answers

What is the primary reason for monitoring arterial blood gases or serum bicarbonate levels in patients with severe acidosis?

<p>To determine the need for sodium bicarbonate therapy or dialysis (B)</p> Signup and view all the answers

What is the purpose of phosphate-binding agents in the management of ARF?

<p>To prevent a continuing rise in serum phosphate levels (D)</p> Signup and view all the answers

What is the expected daily weight loss in a patient with ARF who has a negative nitrogen balance?

<p>0.2-0.5 kg (0.5-1 lb) (C)</p> Signup and view all the answers

Why are dietary proteins limited during the oliguric phase of ARF?

<p>To minimize protein breakdown and prevent accumulation of toxic end products (C)</p> Signup and view all the answers

What is the primary reason for restricting foods and fluids containing potassium in patients with ARF?

<p>To prevent hyperkalemia (B)</p> Signup and view all the answers

What is the purpose of high-carbohydrate meals in the nutritional management of ARF?

<p>To have a protein-sparing effect (A)</p> Signup and view all the answers

What is the typical duration of the oliguric phase of ARF?

<p>10-20 days (C)</p> Signup and view all the answers

What is the typical daily restriction for sodium intake in patients with ARF?

<p>2 g/day (C)</p> Signup and view all the answers

What is a potential complication of chronic renal failure due to decreased excretion and excessive intake?

<p>Hyperkalemia (B)</p> Signup and view all the answers

Which of the following is a complication of chronic renal failure due to retention of uremic waste products and inadequate dialysis?

<p>Pericarditis (C)</p> Signup and view all the answers

What is the goal of management in chronic renal failure?

<p>To maintain kidney function and homeostasis for as long as possible (B)</p> Signup and view all the answers

What is the primary means of achieving management in chronic renal failure?

<p>Medications and diet therapy (A)</p> Signup and view all the answers

What is the purpose of administering erythropoietin in chronic renal failure?

<p>To treat anemia (C)</p> Signup and view all the answers

What is the concern about the long-term use of aluminum-based antacids?

<p>Toxicity (A)</p> Signup and view all the answers

What is the purpose of administering phosphate-binding agents in chronic renal failure?

<p>To bind dietary phosphorus in the GI tract (C)</p> Signup and view all the answers

What is the alternative medication to high doses of aluminum-based antacids?

<p>Calcium carbonate (D)</p> Signup and view all the answers

What type of proteins are considered to have high biologic value?

<p>Dairy, eggs, and meats (B)</p> Signup and view all the answers

What is the typical fluid allowance for a patient based on the previous day's urine output?

<p>500 to 600 mL more (A)</p> Signup and view all the answers

What is the primary purpose of carbohydrates and fat in the diet described above?

<p>To prevent muscle wasting (D)</p> Signup and view all the answers

Why is vitamin supplementation necessary for patients on a protein-restricted diet?

<p>To compensate for water-soluble vitamins lost during dialysis (C)</p> Signup and view all the answers

What dietary recommendation is made to prevent hyperkalemia in patients undergoing dialysis?

<p>Potassium-restricted diet (A)</p> Signup and view all the answers

When is dialysis usually initiated in patients with chronic renal failure?

<p>When conservative treatment fails to maintain a reasonable lifestyle (C)</p> Signup and view all the answers

Which of the following is not a potential nursing diagnosis for a patient with chronic renal failure?

<p>Hyperthyroidism (A)</p> Signup and view all the answers

What role does nursing care play for patients with chronic renal failure?

<p>Avoiding complications and managing anxieties (A)</p> Signup and view all the answers

Which cardiovascular symptom is characterized by swelling in the feet, hands, and sacrum with an indentation present after applying pressure?

<p>pitting edema (D)</p> Signup and view all the answers

What is a common pulmonary manifestation that involves increased rate and depth of breathing due to severe metabolic acidosis?

<p>Kussmaul-type respirations (C)</p> Signup and view all the answers

Which gastrointestinal symptom is sometimes referred to as 'uremic fetor'?

<p>ammonia odor to breath (A)</p> Signup and view all the answers

Which term refers to the decrease in muscle mass and strength often seen in patients with kidney disease?

<p>loss of muscle strength (D)</p> Signup and view all the answers

What is considered the more sensitive indicator of renal function due to its constant production in the body?

<p>serum creatinine (D)</p> Signup and view all the answers

Which hematologic symptom commonly occurs in patients with renal disease and involves a low platelet count?

<p>thrombocytopenia (C)</p> Signup and view all the answers

Which reproductive symptom is characterized by the absence of menstruation in women?

<p>amenorrhea (C)</p> Signup and view all the answers

What physiological change in the kidneys leads to the inability to concentrate or dilute urine normally in End-Stage Renal Disease (ESRD)?

<p>nonfunctioning glomeruli (C)</p> Signup and view all the answers

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