Certified Dialysis Nurse Practice Test 2025 – All-in-One Resource for Exam Success!

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Which of the following is not a key indicator monitored in dialysis patients?

Hemoglobin levels

Albumin levels

Electrolytes

Vitamin K levels

The correct answer is based on the understanding of what is essential for monitoring in dialysis patients. Hemoglobin levels, albumin levels, and electrolytes are critical indicators that provide essential information about a patient's overall health and the effectiveness of renal replacement therapy.

Hemoglobin levels are monitored to assess for anemia, which is common in patients with chronic kidney disease due to their reduced ability to produce erythropoietin. This hormone stimulates red blood cell production, and low hemoglobin can indicate the need for interventions such as erythropoiesis-stimulating agents or iron supplementation.

Albumin levels are significant as they reflect the nutritional status of the patient and are also an important marker of inflammation. Low levels of albumin can indicate malnutrition or increased protein loss, which are common complications in dialysis patients. Maintaining healthy albumin levels is crucial for overall health and recovery.

Electrolytes, including potassium, sodium, and phosphorus, are routinely monitored to prevent complications such as hyperkalemia or hypocalcemia, which can have severe consequences if not managed properly. Electrolyte balance is vital for many bodily functions, especially in patients with impaired kidney function.

In contrast, vitamin K levels are not typically a key focus in the routine monitoring of dialysis patients.

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