Author Question: A 42-year-old male has been diagnosed with renal failure secondary to diabetes mellitus and is ... (Read 56 times)

kamilo84 · **on:** Jun 25, 2018

A 42-year-old male has been diagnosed with renal failure secondary to diabetes mellitus and is scheduled to begin dialysis soon.

Which of the following statements by the client reflects an accurate understanding of the process of hemodialysis?
A)
It's stressful knowing that committing to dialysis means I can't qualify for a kidney transplant.
B)
I know I'll have to go to a hospital or dialysis center for treatment.
C)
Changing my schedule to accommodate 3 or 4 hours of hemodialysis each day will be difficult.
D)
I won't be able to go about my normal routine during treatment.

Question 2

A 77-year-old female diagnosed with chronic obstructive pulmonary disease (COPD) is experiencing impaired gas exchange and CO2 retention, despite a rapid respiratory rate.

Which of the following pathophysiological principles would her health care team expect if her compensatory mechanisms are working?
A)
Arterial blood gas sampling indicates a pH in the range of 7.45 to 7.55.
B)
Her kidneys are likely to reabsorb H+ and secrete HCO3-
C)
Her body will produce excess metabolic CO2.
D)
Her kidneys will adapt with an increase in plasma HCO3- and her pH will decrease.

carlsona147 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

Hemodialysis requires the client to remain connected to dialysis machinery, whereas peritoneal dialysis allows for activity during treatment. Dialysis does not disqualify an individual from receiving a transplant. Dialysis does not require attendance at a dialysis center, and patients can be taught to perform the dialysis in their home with a family member in attendance. Hemodialysis is normally conducted three times weekly, not once per day.

Answer to Question 2

Ans:
D

Feedback:

Respiratory acidosis is accompanied by renal adaptation with a more marked increase in plasma HCO3- and a lesser decrease in pH. Her pH is likely below 7.35, and the likely renal response involves the reabsorption of HCO3- and secretion of H+. Excess CO2 production is not a common manifestation of obstructive lung disease.