Final Exam DaVita Exam Questions and Answers.

Final Exam DaVita Exam Questions and Answers what are the risk of doing it your way ? - Ans-civil liability what makes dialysis patient more susceptible to HAIs? - Ans-weakened immune system prolong accès to pt blood why are dialysis pt at increased risk for acquiring a HAI at the facility? - Ans-contact transmition wha tis the most common transmition route for HAIs? - Ans-contact transition what is the most important intervention you can do to prevent HAIs? - Ans-hand hygiene wha tis the most common infectious complication in hemodialysis pt? - Alar access infection cdc the most common factor contributing to bacteriumia is use of cvc. what germ causes the most common infections in hemodialysis pt? - Ans-MRSA MRSA can remain on service for days. being most favorable to survival why is wearing gloves important? - Ans-function of gloves decrease the risk of hand contamination. successful lab draws know the 20 tips - Ans-follow the order of draw to prevent specimens from being contaminated with other tube additive double labeling tubes prohibits processing what is rule of spinning samples? - Ans-balance, spin tubes of same kind size fill level and should be placed opposite of each other. what are signs and symptoms of hyperkalemia - Ans-high potassuim-muscle weakness, abnormal heart rate what are signs and symptoms of hypokalemia - Ans-low potassium-muscle cramp abnormal heart rate cold how can you prevent contributing to blood loss? - Ate heparinzation giving heprin why are patients anemic ? - Ans-lack of (ego)erythropoietin what is pericarditis? what is included in its treatment ? - Ans-no heparin hold or decrease heparin peripheral neuropathy - Ans-check temperature of bathwater don't walk bare feet frequent foot check what are the 4 key elements affected in CKD-MBD? - Aum horous hyroid hormone nt D what does the acronym DARN stand for? - Ans-desire ability reason need when should the communication style directing be used? - Ans-when training to perform procedure what are the 3 core communication skills to be used within the communication styles - Ans-asking, lisening,involving what is the best way to help pt successful change behavior? - Ans-the best way to help pt successfully change behavior is to inspire behavioral change through support, compassion and empathy. summarizing skill - Ans-includes main aspect of what the pt said during the entire communication writing reflex - Ans-in automatic intervention of health care practitioner who absorbs a pt doing something detrimental reflex. is there an order to work through the 5 stages of grief? - Ans-NO what is KDQOL 36? - Ans-kidney disease quality of care of life it is an assessment tool used for social workers to identify barriers what is KDQOL used for? - Ans-social worker complies result and develops goals with the pt are social workers available to caregiver? - Ans-social worker available for caregivers strangling to meet demands of pt treatment regiment 4 transport machisms that play role in hemodialysis - Afilteration ction stion is what is ultrafilteration? - Ans-controlled fluid removed by es fluid only what is convection? - Ans-salutes are dragged with water. saluts and water what is diffusion ? - Ans-particles move from high concentration to low particles what is osmosis ? - Ans-fluid from lower to i what are the kidney endocrine function? - Ace ate ropoetin iation of fitment d which convert (calibrated bone disease what is the function of bicarbonate? - Ans-diffusion of bicarb from dialysate to blood helps normalize body ph consequence of organ stunning? - Ans-hypotension can have many adverse affects includes impaired tissue prevention of vital organs. muscle cramps intervention - Ans-decrease or turn off uf offer to stretch we don't want to dialoged clot. fever and chills defention - Ans-any temperature greater then 100 fahernhit or increase over baseline of 2 fahrnihit with symptoms. pyrogen reaction definition - Ans-react are caused by pyrogen such as endotoxin in water treatment occurs with in 45-75 min of treatment. pyrogen reaction causes - Ans-break of water treatment, toxins inside bacteria seizures intervention - Ans-discontinue treatment if seizures is sever or pt doesn't not respond to treatment dialysis disequiblrium syndrome prevention - Ans-encourage pt not to skip treatment blood loss definition - Ans-tmp clotting of dialyzer,needle disloging blood loss causes - Ans-blood leak(fiber break loss) high pressure blood loss symptoms - Ans-blood on floor, chair or clothing, tmp alarm disinfectant infusion symptoms - Ans-pain at venous needle side, respiratory distress tingling around the mouth chest pain/angina intervention - Ans-if mild turn uf decrease blood flow rate give oxygen air embolism intervention - Ans-stop pump clamp lines left side trenvelenburg air taped int right atrium and venticular when pt is place into trendlengburg postion what are the 3 basic principle of self-managment ? - Ang of consequence of illness rather than physical disease alone what is the definition of health literacy? - Ans-the degree to which individuals have the capacity to obtain process and understand basic health information what are the educational tips for visual learners ? - Ans-select quit surrounding what are the educational tips for auditory learners? - Ans-word association and numonics what are the educational tips for tactile learners - Ans-short lectures frequent breaks what are the meds PCTs can administer per DaVita P&p? - An aine e at what time are medications contain a preservative discarded? - Ans-28 days how long do we wait after administering heparin bolus prior to treatment intuition - Ans-3-5 minutes how do you administer pain ease spray? - Ans-blanching of the skin describe 4 AVF evaluations for maturation based on the KDOQI rules of 6s? - Ans-6-8 weeks post op 600 ml per min blood flow diameter 0.6 cm or more depth below skin 0.6 cm what does KDOQI rule of 6 - Ans-KDOQI rule of 6 provide guidelines for use or new AV fistula bruit listen sound - Ans-hearing whistling mean out flow stenosis who can cannulate new fistula? - Ans-only expert advance are to cannulate new fistula hemostatic sponge uses for numbing - Ans-if using hemostatic sponges remove after hemostat has been achieved cover of dress using sterile gauze BESTIPS complication and prevention T - Ans-Thrombosis BESTIPS complication and prevention S - Ans-sudanorysm,anyrusms prevented by good needle side rotation