AKI patients are at increased risk for which complication? Correct answer- Hypertension
(low blood sugar) and hypovolemia (low blood volume)
Why it is important to know what causes your patient's CKD? Correct answer- So nurse
and PCT can inquire possible problems during date collection and assessment.
What is the 'K' in KT/V? Correct answer- Clearance
What treatment factors decrease K (clearance)? Correct answer- Inadequate
anticoagulation
Needle gauge and suggested BFR 17, 16, 15, 14 Correct answer- 17=200-250,
16=250-350, 15=350-450, 14=as long as not exceed pressures 260
Needle size 17, what BFR? Correct answer- 200-250
Needle size 16, what BFR? Correct answer- 250-350
Needle size 15, what BFR? Correct answer- 350-450
Needle size 14, what BFR? Correct answer- As long as pressures don't exceed 260
positive or negative
Lab draw mistakes that would falsely increase Kt/V? Correct answer- Only waiting 5 sec
after lowering BFR + Dialysate
What is the role of the PCT prior to treatment initiation? Correct answer- Must notify RN
of any abnormals
When is a pre-treatment assessment by the licensed nurse required? Correct answer-
Acute patients
To verify patient is stable and safe for discharge after treatment: Correct answer- 1.
Evaluate effectiveness of treatment by compare post and pre data
2. PCT notify nurse of abnormal findings.
3. Nurses preform a post assessment as required.
4. ALL THE ABOVE (is the right answer)
, DQI (Davita Quality Index) success is achieved by? Correct answer- 1. Managing
individual or diets and allow scores to follow
2. Knowing each teammates role
3. Using C, K, I to help identify trends and make improvements.
4. All the above (right answer)
The clinical pyramid includes: Correct answer- A. The fundamentals
B. Complex problems
C——-wrong———
D. What matters the most, quality of life.
Why do we document in medical records? Correct answer- Because it is a Permanent
Legal Record
What are the appropriate times for documentation? Correct answer- Pre-Treatment
safety checks: prior to treatment initiation
Pre-Treatment data-collection: prior to treatment
Post treatment data collection: done after treatment is complete
What are possible consequences of poor or incomplete documentation? Correct
answer- Can lead to attack on your care
What are the six items included in charting administered medications? Correct answer-
Reason for giving and patient response
What are the 3 things you should not include in a REM? Correct answer- 1. Personal
opinion
2. Speculations
3. Vendettas
Target Weight Correct answer- - is determined via a physician
- TW should be modified by the physician based on patient's tolerance, ongoing signs of
fluid overload, and changes in fluid status
Interdialyctic weight gain (IDWG)calculation? Correct answer- UF goal calculation: must
be adjusted not to exceed MD order and reasoned has to be documented.
What are the consequences and risks if hypovolemia during the treatment? Correct
answer- Attempting to remove large amounts of fluid during treatment can lead to
hypovolemia which increases mortality.