Order Chronic Renal Failure Discussion

Order Chronic Renal Failure Discussion
Order 5894839
Order Chronic Renal Failure Discussion
1 On routine testing of Miss Graham’s urine the nurse
should expect to find a:
a_ low specific gravity, albuminuria, glycosuria, and a dark
colour
b proteinuria, haematuria, high specific gravity and an amber
colour
ce low specific gravity, haematuria, glycosuria, albuminuria
and an amber colour
d_ high specific gravity, proteinuria, haematuria, and a dark
colour
2 The oedema of ankles suggests that Miss Graham’s
glomerular filtration rate is below its normal value of
between:
a 30 and 50 litres in 24 hours
b 100 and 125 litres in 12 hours
ce 50 and 80 litres in 12 hours
d 100 and 125 litres in 24 hours
3. Miss Graham’s diet was modified to a daily intake of
40 g of protein, 22 mmol of sodium and 500 ml of fluid
plus the previous day’s urinary output. Such a diet would
suggest that the clinical features of the illness include:
a uraemia, oedema and proteinuria
b oedema, albuminuria and hypertension
¢ proteinuria, hypertension and oedema
d hyperkalaemia, hypernatraemia, and hypertension
4 A 22 mmol daily sodium intake infers that Miss Graham
should receive a diet to which:
a a little salt is added during cooking but not at the table
b_ the range of foods offered contains a reasonable amount of
natural salt
ce no salt is added at cooking but a little is permitted at table
d_ salt is not permitted either at cooking or at table
Chronic Renal Failure 9
3.5
3.6
3.7
3.8
10
Miss Graham’s haemoglobin was found to be 4.9
mmol/litre. The nurse could expect that Miss Graham
will:
be transfused with 2 units of blood
have her diet modified to include iron yielding foods
be prescribed oral iron medication
be diagnosed as having megaloblastic hyperchromic anaemia.
aod ef
Two days following her admission Miss Graham
underwent a complete skeletal scan. It would be
reasonable for the nurse to assume that this test was
requested because it was found that the patient’s:
a serum phosphate levels were high and serum calcium low
b_ osteological changes were causing arthritic pain
c uraemia was interfering with absorption of essential minerals.
d_ plasma levels of phosphate and calcium were both low
Miss Graham commenced intermittent peritoneal
dialysis. The underlying principle of this therapy is that
it:
a causes diffusion of waste products from the peritoneum
into the abdominal cavity
b_ transfers solutes across a semipermeable membrane from a
high to a low concentration
ce excess urea and creatinine are exchanged with dialysate
fluid in the peritoneum
d exchanges waste products between the dialysis fluid and
peritoneal blood vessels
During a period of intermittent peritoneal dialysis an
observation which should be immediately reported to
medical staff is when:
a_ the blood pressure remains unaltered after 4 hours
b_ the axillary temperature records 38°C
ec Miss Graham’s blood sugar shows an increased level
d_ the fluid totals are in negative balance
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