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Chapter 16. Chronic Kidney Disease MTM Data Set

Which is the most common cause of chronic kidney disease?

a. Hypertension

b. Diabetes mellitus

c. Glomerulonephritis

d. Drug-induced kidney injury

Answer b.

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?

a. G4, A2

b. G4, A1

c. G5, A2

d. G5, A1

Answer d.

Which 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?

a. <150/100 mm Hg

b. <140/90 mm Hg

c. <130/80 mm Hg

d. <120/80 mm Hg

Answer c.

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

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, two tablets of furosemide instead of one tablet, on your nondialysis days (Tuesdays, Thursdays, Saturdays, and Sundays).

b. Your physician changed your furosemide dose. You should now take 80 mg on nondialysis days.

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

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

Answer a.

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

a. Orange juice should be avoided due to potassium content.

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

c. If you forget a dose of phosphate binder at lunch, ...

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