A nurse is explaining to a group of students that there are ...

[londonang]

A nurse is explaining to a group of students that there are certain criteria that are met before a child starts renal replacement therapy.
 
  Which of the following criteria does the nurse include in the discussion with the students? (Select all that apply.)
  A.
  Acidosis with pH < 7.2 or rising rapidly
  B.
  BUN > 150 mg/dL, or lower if rising rapidly
  C.
  Mental status changes from uremia
  D.
  Potassium > 6.5 mEq/L despite treatment
  E.
  Presence of dialyzable toxins or poisons

Question 2

The student learns that which hormones are regulated by the kidneys? (Select all that apply.)
 
  A.
  Calcitriol
  B.
  Creatinine
  C.
  Estradiol
  D.
  Erythropoietin
  E.
  Renin

[AISCAMPING]

Answer to Question 1

ANS: B, C, D, E
There are several criteria for beginning renal replacement therapy, including those listed here. Acidosis with a pH of greater than 7.2 or HCO3 greater than 10 mEq/L are also criteria, but if the pH is rising (normalizing) quickly, that would not be an indication to begin therapy.

Answer to Question 2

ANS: A, B, E
Hormones released by the kidneys include calcitriol, erythropoietin, and renin. Creatinine is a laboratory value that measures kidney function. Estradiol is a hormone but is not released by the kidneys.