Manitoba Nephrology Nurse Practice Test

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When is it particularly important to monitor a CKD patient’s phosphate levels?

During periods of high physical activity

When they are not on dialysis

To prevent cardiovascular diseases

Monitoring a chronic kidney disease (CKD) patient’s phosphate levels is particularly important to prevent cardiovascular diseases. Elevated phosphate levels can lead to a condition known as secondary hyperparathyroidism, which often results from the kidneys' inability to excrete phosphate effectively. This condition contributes to the development of vascular calcification and can adversely affect heart function, increasing the risk of cardiovascular events.

Maintaining phosphate within the normal range is crucial for CKD patients to minimize these risks. High phosphate levels can lead to an imbalance in calcium and phosphate metabolism, which not only affects bone health but also has significant implications for cardiovascular health. Monitoring and managing phosphate levels helps ensure that patients do not develop complications that could compromise their cardiovascular system.

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At the time of medication changes

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