CNN-NP Practice Questions - CNN-NP Certified Nephrology Nurse Practitioner Exam

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A CKD G4 patient has phosphorus 5.6 mg/dL, calcium 8.6 mg/dL, and intact PTH 420 pg/mL. According to KDIGO CKD-MBD guidance, which initial therapeutic step is most appropriate?

Start calcium-based phosphate binder with each meal Counsel on dietary phosphate restriction and start a non-calcium phosphate binder if phosphate remains elevated Begin cinacalcet immediately to lower PTH Start IV calcitriol to suppress PTH

Correct Answer:

Counsel on dietary phosphate restriction and start a non-calcium phosphate binder if phosphate remains elevated

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