Early Chronic Kidney Disease: Detecting and Managing Stages I–II
Über den Vortrag
Der Vortrag „Early Chronic Kidney Disease: Detecting and Managing Stages I–II“ von Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C ist Bestandteil des Kurses „Management of Genitourinary and Nephrological System Disorders in the Older Adult“.
Quiz zum Vortrag
Based on Margaret's clinical data, which finding most strongly supports a diagnosis of stage one chronic kidney disease in an older adult?
- An eGFR of 110 mL/min/1.73 m² that is technically within normal limits
- A urine albumin creatinine ratio of 45 milligrams per gram indicating albuminuria, with preserved kidney function (eGFR ≥ 90 mL/min/1.73 m²)
- A hemoglobin A1C of 7.2% that is stable on current metformin therapy
- A blood pressure of 138 over 82 millimeters of mercury suggesting white coat syndrome
- A long history of type 2 diabetes without recent changes in clinical symptoms
What does an elevated urine albumin creatinine ratio (ACR) indicate in the context of chronic kidney disease?
- The kidneys are clearing waste products more efficiently than normal baseline function.
- There is damage to the glomerular filtration system allowing albumin to leak.
- The eGFR values are no longer needed to evaluate overall kidney function status.
- Kidney function is normal as long as eGFR remains above age-adjusted reference limits.
- Albumin loss in the urine is unrelated to future kidney decline or progression.
In managing Margaret's stage one chronic kidney disease, which intervention directly addresses slowing CKD progression while considering her existing therapy?
- Adjusting the dose of her ACE inhibitor and reinforcing sodium restriction with activity targets
- Stopping her ACE inhibitor and relying solely on lifestyle modifications for pressure control
- Discontinuing metformin therapy and increasing dietary protein to support kidney filtration
- Maintaining her current regimen without changes because her eGFR is within normal limits
- Focusing only on lowering her hemoglobin A1C below 6.0% without any other interventions
Which clinical situation described for Matthew best meets recommended criteria to consider nephrology collaboration in stage two chronic kidney disease?
- Stage two CKD with multiple risk factors, evidence of damage, and significant albuminuria
- Borderline diabetes without albuminuria and a completely normal eGFR within age range
- Mild fatigue in an older adult with normal kidney labs and no identifiable risk factors
- Hypertension controlled on low-dose ACE inhibitor with no changes in recent lab values
- Benign prostatic hyperplasia without any evidence of altered kidney function or damage
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Dozent des Vortrages Early Chronic Kidney Disease: Detecting and Managing Stages I–II
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
Dr. Kim Posey is the Director of Graduate Nursing and an Associate Professor of Professional Practice at Texas Christian University.
She has achieved dual doctoral status, holding both a Ph.D. and a DNP in nursing. She is dual certified as an Advanced Adult Nurse Practitioner and Gerontological Nurse Practitioner and holds a certification in nursing education. As a Gerontological Specialist certified by the Gerontology Nursing Certification Commission she is recognized as an APRN who possesses expert knowledge, experience, and skill in managing the complex health needs of older adults. In addition to this impressive educational background, she maintains active clinical practice with adult and geriatrics patients in the primary care area.
At Lecturio, Dr. Posey teaches Gerontology for the advanced practice nurse.
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