Which of the following clients' diagnostic blood work is most ...

[ahriuashd]

Which of the following clients' diagnostic blood work is most suggestive of chronic kidney disease (CKD)?
 
  A)
  A client with high pH; low levels of calcium; and low levels of phosphate
  B)
  A client with low vitamin D levels; low calcitriol levels; and elevated parathyroid hormone (PTH) levels
  C)
  A client with low bone density; low levels of calcium; and low levels of phosphate
  D)
  A client with low potassium levels; low calcitriol levels; and increased PTH levels

Question 2

A 14-year-old boy, appearing to be intoxicated, is brought to the emergency room by ambulance. The EMTs report that the boy has denied consuming anything out of the ordinary, but an open antifreeze container was found in the boy's room.
 
  Which of the following is likely to be used to treat the patient's symptoms?
  A)
  Gastric lavage
  B)
  Syrup of ipecac
  C)
  Fomepizole
  D)
  Sodium bicarbonate

[aadams68]

Answer to Question 1

Ans:
B

Feedback:

CKD is associated with low vitamin D and calcitriol levels, which induces increased PTH production. CKD is also associated with acidosis (low pH), high levels of phosphate, and hyperkalemia.

Answer to Question 2

Ans:
C

Feedback:

Ethylene glycol is found in products ranging from antifreeze and deicing solutions to carpet and fabric cleaners. It tastes sweet and is intoxicatingthe factors that contribute to its abuse potential. A lethal dose is approximately 100 mL. It is rapidly absorbed from the intestine, making treatment with either gastric lavage or syrup of ipecac ineffective. Fomepizole, with specific indications for ethylene glycol poisoning, was recently approved by the U.S. Food and Drug Administration.

[ahriuashd]

Correct answers!

[aadams68]

Great! Please up vote