Diabetic nephropathy results from an elevation of blood pressure, increasing the workload of the glomeruli. The glomeruli thicken and allow serum albumin to pass into the urine. Which of the following signs and symptoms indicate diabetic nephropathy?
Edema around the eyes upon awakening, progressing to general swelling of the legs and body
Weight gain, malaise, fatigue, and frothy urine
Rust-colored urine, weight loss, and back pain
A and C
A and B
What steps need to be taken to diagnose and eliminate the problem of dialysate leakage during peritoneal dialysis?
Use a Dextrostick to ascertain the presence of glucose.
Resuture the exit site, and stabilize or replace the catheter.
LDiscontinue peritoneal dialysis to allow for healing, or decrease the infusion time with the patient lying on the left side.
Both A and B are true.
Both B and C are true.
Certain precautions must be followed when performing dialysis on a recent transplant recipient. All of the following statements regarding dialysis for the post-transplant patient are true EXCEPT:
Close observation is necessary for hypotension because of the risk of internal bleeding in first 24 hours postsurgery; a physician must be alerted if hypotension occurs.
Hypotension must be avoided to prevent ischemia of the newly transplanted kidney, even if fluid removal during dialysis is compromised.
High-dose heparin must be used to prevent postoperative clotting;
Observation is necessary for electrolyte imbalance, especially hyperkalemia.
A patient is admitted with the following signs and symptoms: edema around the eyes upon awakening, progressing to general swelling of the legs and body; weight gain; fatigue; headache; nausea; vomiting; frequent hiccoughs; and itching. A urine specimen is obtained, and the urine is frothy. The patient has a history of insulin-dependent diabetes (type 1 diabetes), which is poorly controlled, and high blood pressure, and his blood work comes back showing an elevated cholesterol level. Which of the following disease processes would you suspect?
Polycystic kidney disease
Damaged kidneys lose their ability to produce erythropoietin, a hormone that stimulates the formation of red blood cells. What is usually prescribed to stimulate erythropoiesis in patients with chronic kidney disease?
Epoetin alfa (Epogen, Procrit)
Cinacalcet HCl (Sensipar)
Furosemide (Lasix) or bumetanide (Bumex)
Sevelamer hydrochloride (Renagel)
it's what basically 1000000 people did in China Sunday, taking the country's grueling civil carrier entrance examination, or Guokao.
test-takers had two hours to reply 135 numerous-option questions about topics protecting language, mathematics, logic, politics, legislations and lifestyle. That become adopted through three hours of essay questions.
The examination is barely held once a year, so for those taking part, it's do or die.
they're competing for 27,000 jobs. the odds of getting one -- after the exam and a subsequent interview -- are about 36 to 1.
Wang Caizhen, 23, is a kind of individuals. A graduate of Beijing's prestigious Tsinghua college, she took the examination in hopes of an entry-level job with China's Ministry of Commerce.
She spent just about four months study CNNing for the check, reviewing old questions, taking mock tests and attending preparatory classes on the weekend.
"The questions about the check were distinct from the workouts I did to prepare for it," Wang spoke of, including that the timing of the exam changed into "very tight."
in order to complete the aptitude examine within the closing date, "you have to coach to reply every query within 50 seconds," she mentioned.
"one of the (essay) questions become about modern governance according to the historic chinese realizing and metaphor of water."
Civil carrier jobs in China are wide-spread CNN because the "golden rice bowl" due to their sturdy pay and beneficiant benefits. the jobs can additionally lead to membership within the ruling Communist birthday celebration, which brings additional prestige.
these hoping to take the exam ought to have at least a junior faculty degree, and be between the ages of 18 and 35. They should choose the jobs they're drawn to after they register.
Wang's favored role pays only 6,000 yuan ($870) a month, however contains benefits akin to Beijing housing registration, free lodging and free food at the office canteen. Such jobs are in particular attractive at a time when financial boom in China has been incessantly slowing.
"The civil carrier is an excellent career option because it's solid," she talked about.
For now, Wang and different candidates will ought to wait. outcomes of the examination might not come out unless January, and if they've scored excessive adequate, the exact job interviews will take region in February or March.
(CNN) - whereas Republicans proceed to soul search after their birthday celebration's loss in the presidential election, former Mississippi Gov. Haley Barbour injected a new term Wednesday to describe the GOP's introspection.
"The floor game is basically critical, and we ought to be, I suggest now we have acquired to give our political organizational undertaking a really critical..." he referred to, taking a pause and looking for the appropriate word. "Proctology exam. We should appear all over."- comply with the Ticker on Twitter: @PoliticalTicker
speaking at a conference for the Republican Governors association in Las Vegas, Barbour stated his celebration must no longer best adapt to demographic adjustments however additionally reform its messaging.
"we are able to seize up in 4 years doing this," he pointed out. "This isn't rocket science, nevertheless it is complicated work that we can not wait and start in 2016."
The party wants a "brutally honest assessment of every thing we did," he added. "We need to take everything apart and consider all of it."
Like different Republicans in contemporary days, Barbour stressed out the value of being greater inclusive to Latinos, African-americans and different minorities. Barbour in selected chided the party for its tone on unlawful immigration, announcing many unlawful people make a contribution to the financial system and comprise an important part of society.
"What are we going to do? send them home? send five million people home and then are attempting to work out a way to exchange them? We need those people to do those jobs," he observed, adding the difficulty can be resolved "if we'll just comply with first rate economic policy."
"however," he persevered, "then we need to comply with up with Latinos and reveal them that we want their vote - now not handiest that we're for first rate policy, we need their vote. We need to do the same aspect with African-americans."
President Barack Obama overwhelmingly received the Latino vote over Mitt Romney, taking 71% of the group. amongst African-americans, the president won ninety three%, in keeping with CNN exit polls.
additionally, the Republican country wide Committee has stated it'll undergo a tremendous review of the birthday celebration's efficiency in 2012.
through Donna Krache, CNN
(CNN) The American Federation of teachers has issued a file advocating an entry exam for all instructor candidates, just like the bar exam taken via aspiring attorneys.
The look at various, which might be required of all future lecturers nationwide, would receive to candidates in spite of whether they're getting into the career via normal skill or “an choice route.”
The AFT file titled “elevating the Bar: Aligning and Elevating teacher practise and the teaching occupation” blanketed an announcement by AFT president Randi Weingarten: “We need to put off a typical rite of passage, whereby newly minted lecturers are tossed the keys to their lecture rooms, anticipated to figure issues out, and left to peer in the event that they (and their college students) sink or swim. the sort of haphazard strategy to the advanced and important commercial enterprise of teaching infants is thoroughly insufficient. It’s unfair to each college students and teachers, who desire and want to be neatly-organized to teach from their first day on the job. At a time when we're elevating the specifications for college students in the course of the general Core State necessities, we need to do the same for teachers.”
The document suggests that the exam be multidimensional and consist of subject capabilities as well as pedagogical talents. In different words, moreover having to understand the subject they train, lecturers would must show that that they had the features to be “caring, competent and assured.”
The file additionally states the responsibility for setting professional requirements and organising nice trainer preparation courses should still live with k-12 educators and instructor-educators.
presently, teacher certification relies on the particular person states wherein the teacher will hang a license; necessities fluctuate largely. Many states have various kinds of certification that require assessments, follow educating, and school courses. All 50 states require at the least a Bachelor’s degree and some scientific journey as minimum requirements for licensure.
The American Federation of teachers is an affiliate of the AFL-CIO that represents greater than 1.5 million individuals, in line with the union’s web site.
you could read CNN the AFT record here.
We wish to know what you consider: should still lecturers be required to take a standardized professional exam earlier than being licensed to train? that you would be able to submit your comments under.
"When i was learning for the exam, I felt sorry as a result of I couldn't do anything else".
Park's father led South Korea for 18 years after seizing energy in a militia coup earlier than he was assassinated with the aid of his disgruntled secret agent chief in 1979. Three opposition events together dangle a hundred sixty five seats whereas the ruling Saenuri birthday party has 128.
On October 24, media reported that Choi soon-sil, a friend and "shadow adviser" of the president, allegedly received drafts of speeches and presidential files, though she had never held a public submit.
Park's attorney rejected the prosecution's investigation effects, claiming prosecutors lacked "equity and credibility" and even hinted at political bias. Some individuals of Park's conservative birthday party have vowed to assist an impeachment attempt, arguing it might serve the party's interests to distance itself from Park forward of subsequent year's presidential election.
"it's plenty more than without problems, 'Oh she knows this person, ' it be deeply intertwined, well-nigh like they're Rasputin and Park Geun-hye is barely a puppet", David Kang, director of the Korean experiences Institute on the school of Southern California, these days informed CNN.
Prosecutors are anticipated to elevate charges in opposition t Choi, however Park will not be charged under a provision within the nation's charter which offers president immunity while protecting workplace, in line with CNN.
The Constitutional court has the last authority to approve an impeachment. It took sixty three days for the court docket to push aside the impeachment movement in opposition t late former President Roh Moo-hyun.
The scandal has sparked nationwide fury, with hundreds of hundreds taking to the streets to call for Park's ousting. "it's Korean subculture to repay debt". For years, she has given Park religious counsel.
The presidential office became no longer automatically attainable for remark.
The Choi sisters are suspected of being involved in acquiring illicit prescriptions for the president from a native sanatorium.
The fallout from the scandal suggests no sign of abating, with South Korea witnessing the biggest protests considering the fact that professional-democracy demonstrations of the Eighties.
A ballot this week suggests that nine out of 10 South Koreans want Park kicked out of office.
"we're protecting close tabs on the protest and the opinions of the individuals", the reliable pointed out.
lots participated in candlelight vigils in 2002 protesting the demise of two schoolgirls struck through a US military vehicle, and in 2008 over Seoul's determination to renew country pork imports amid persisting fears of mad cow sickness.