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Chapter 16. Chronic Kidney Disease Medication Therapy Management Data Set

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Which of the following is the most common cause of chronic kidney disease?

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a. Hypertension

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b. Diabetes mellitus

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c. Glomerulonephritis

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d. Drug-induced kidney injury

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A patient with a glomerular filtration rate of 12 mL/min/1.73m2 and a spot albumin to creatinine ratio of 20 mg/g has which stage of CKD?

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a. G4, A2

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b. G4, A1

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c. G5, A2

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d. G5, A1

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Which of the following is an appropriate blood pressure target for a 49-year-old patient with type 2 diabetes and an albumin to creatinine ratio of 300 mg/g?

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a. < 150/100 mm Hg

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b. < 140/90 mm Hg

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c. < 130/80 mm Hg

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d. < 120/80 mm Hg

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A patient was told by his prescriber that he is not reaching his dry weight and should double his furosemide dose on non-dialysis days. Which is the best interpretation of this statement in plain language?

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a. When you leave dialysis, there is extra fluid left in your body, which can strain your heart. You should now take more of your water pills, 2 tablets of furosemide instead of 1 tablet, on your non-dialysis days (Tuesdays, Thursdays, Saturdays, and Sundays).

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b. Your doctor changed your furosemide dose. You should now take 80 mg on non-dialysis days.

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c. Your weight after dialysis is far from your dry weight. Your doctor wants you to double your dose of furosemide.

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d. Dialysis is a procedure that removes extra fluid from your body. You should take more tablets of furosemide on your non-dialysis days (Tuesdays, Thursdays, Saturdays, and Sundays).

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All of the following are appropriate self-management recommendations for inclusion on the MAP of a patient with late stage CKD EXCEPT:

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a. orange juice should be avoided due to potassium content

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b. Ibuprofen should be used in preference to acetaminophen for mild pain

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c. if you forget a dose of phosphate binder at lunch, skip that dose and resume taking your medication at your next meal

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d. you should ...

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