Question

Read scenario III. Then decide which of sentences A – I are correct (there are 4 correct ones) and which are incorrect. Answer questions 16 -18 as they apply to scenario III. Scenario III:

Ms. Umbridge’s CKD will need a certain treatment plan which is described correctly in some of the statements below.

A. Diuretics are not usually given to a CKD patient, since potassium is likely to be urinated out as well, worsening the hypokalemia that is always a danger in patients with CKD.

B. A patient with CKD is likely to be malnourished, so a diet high in protein, vitamins, and calcium is crucial.

C. Since a CKD patient is almost always in a potentially dangerous state of fluid overload, a diuretic will be given to “mobilize” fluids—get them out of the tissue into the blood, and then help the kidneys to urinate them out of the body.

D. Phosphate is often not metabolized properly by diseased kidneys, so phosphate supplements will be important for the nurse to give to the CKD patient.

E. Calcium supplements will also be important, since diseased kidneys cannot properly activate vitamin D, thus lessening dietary calcium absorption.

F. A diet low in protein is important so that there will be less urea nitrogen created when the proteins are catabolized in the liver.

G. The patient will be highly fatigued due to anemia related to less erythropoietin; her nurse will likely need to give her erythropoietin injections.

H. An RN caring for this patient will need to watch for S&S of “thickened blood” since there will often be an over-abundance of RBCs related to increased erythropoietin secretion.

I. The nurse caring for this patient will be giving hypotonic IV fluids to counteract the hyperosmolality of the blood.

16. Choose the correct statement about treating this patient in CKD. a. A b. B c. C d. D

17. Choose another correct statement about treating this patient in CKD. a. I b. H c. A d. F

18. Dolores Umbridge is

a. an evil professor in the Harry Potter series.

b. an evil nursing professor at UTA.

c. the competent head nurse on the TV series, ER.

d. the evil head nurse in One Flew Over the Cuckoo’s Nest.

Answer 1

No - 15

Ms. Umbridge’s CKD will need a certain treatment plan which is described correctly in some of the statements below.

C. Since a CKD patient is almost always in a potentially dangerous state of fluid overload, a diuretic will be given to “mobilize” fluids to get them out of the tissue into the blood, and then help the kidneys to urinate them out of the body.

F. A diet low in protein is important so that there will be less urea nitrogen created when the proteins are catabolized in the liver.

G. The patient will be highly fatigued due to anemia related to less erythropoietin; her nurse will likely need to give her erythropoietin injections.

I. The nurse caring for this patient will be giving hypotonic IV fluids to counteract the hyperosmolality of the blood.

No. 16

Since a CKD patient is almost always in a potentially dangerous state of fluid overload, a diuretic will be given to “mobilize” fluids get them out of the tissue into the blood, and then help the kidneys to urinate them out of the body.

No 17

The nurse caring for this patient will be giving hypotonic IV fluids to counteract the hyperosmolality of the blood.

A diet low in protein is important so that there will be less urea nitrogen created when the proteins are catabolized in the liver.

18. Dolores Umbridge is an evil professor in the Harry Potter series.

Answer - a. an evil professor in the Harry Potter series.