Davita Final Exam 2022
Per The centers for disease control prevention, which is the most common factor contributing to
bacterial infections in dialysis patients
- ANS-The use of catheters in hemolysis
You are assisting a patient to step on the scale by holding the patients hand such as casual contact
- ANS-Does not require to wear gloves but must preform hand hygiene
Per the centers for disease control prevention, which is the most important route by pathogens are
transmitted in health care setting including dialysis
- ANS-Contact transmission
The signs that numbing has taken effect and it is time to stop spraying topical anesthetic on the
vascular access cannulation sites is when
- ANS-You observe blanching of the skin
which is the primary device for purifying the water used in dialysis
ANS-reverse osmosis
what complications would you expect to see if a patient is exposed to chlorine/chloramines
- ANS-hemolysis
cynthia missed treatment on saturday and returns the following tuesday for her next scheduled
treatment. She complains of feeling weakness in her legs. David, a PCT gets a wheelchair for her,
helps her weigh in, and brings her back for the nurse to assess prior to starting her treatment. Which
patient complication would you the PCT and Rn suspect Cynthia is most likely suffering from
- ANS-Hyperkalemia
In the event of patient experiencing a siezure, the dialysis treatment should be
ANS-Discontinue if the seizure is severe or the patient does not respond to treatment
Per Davita Policy, fever is defined as
, - ANS-Any temperature greater than 100° F or increase over baseline of 2°F with symptoms
Interventions for a patient complaining of chest pain
- ANS-Decrease blood flow rate, decrease ultrafiltration rate, administer H2O, take vital signs
What problem will cause a more positive (less negative) pre pump arterial pressure
- ANS-Separation of blood tubing from arterial access
What is an important action prior to returning patients blood using the hand crank in the event of a
power failure
- ANS-Remove the venous line from the clamp line
Knowing what caused your patients renal failure
ANS-is important to identify possible problems during data collection and assessment
a patient with acute kidney injury (AKI) dialysis in the out-patient facility. IN regards to the patients
target weight, why is being "wet" better than being too dry?
- ANS-Being wet helps avoids hypovolemia and hypotensive episodes
Ultrafiltration is defined as
- ANS-controlled fluid removed by manipulation of hydrostatic pressure
Why is meticulous hand hygiene so important in healthcare?
- ANS-its the single most important intervention in preventing HAI's
What should be done to the heparin infusion line if a patient does not have maintenance heparin
prescribed?
- ANS-Clamp & Knot the heparin line
When is a pre treatment assessment by the licensed nurse required? check all that apply
- ANS-When it is mandated by state law ( pre-treatement vs within 1 hour after start of tx) , when
Per The centers for disease control prevention, which is the most common factor contributing to
bacterial infections in dialysis patients
- ANS-The use of catheters in hemolysis
You are assisting a patient to step on the scale by holding the patients hand such as casual contact
- ANS-Does not require to wear gloves but must preform hand hygiene
Per the centers for disease control prevention, which is the most important route by pathogens are
transmitted in health care setting including dialysis
- ANS-Contact transmission
The signs that numbing has taken effect and it is time to stop spraying topical anesthetic on the
vascular access cannulation sites is when
- ANS-You observe blanching of the skin
which is the primary device for purifying the water used in dialysis
ANS-reverse osmosis
what complications would you expect to see if a patient is exposed to chlorine/chloramines
- ANS-hemolysis
cynthia missed treatment on saturday and returns the following tuesday for her next scheduled
treatment. She complains of feeling weakness in her legs. David, a PCT gets a wheelchair for her,
helps her weigh in, and brings her back for the nurse to assess prior to starting her treatment. Which
patient complication would you the PCT and Rn suspect Cynthia is most likely suffering from
- ANS-Hyperkalemia
In the event of patient experiencing a siezure, the dialysis treatment should be
ANS-Discontinue if the seizure is severe or the patient does not respond to treatment
Per Davita Policy, fever is defined as
, - ANS-Any temperature greater than 100° F or increase over baseline of 2°F with symptoms
Interventions for a patient complaining of chest pain
- ANS-Decrease blood flow rate, decrease ultrafiltration rate, administer H2O, take vital signs
What problem will cause a more positive (less negative) pre pump arterial pressure
- ANS-Separation of blood tubing from arterial access
What is an important action prior to returning patients blood using the hand crank in the event of a
power failure
- ANS-Remove the venous line from the clamp line
Knowing what caused your patients renal failure
ANS-is important to identify possible problems during data collection and assessment
a patient with acute kidney injury (AKI) dialysis in the out-patient facility. IN regards to the patients
target weight, why is being "wet" better than being too dry?
- ANS-Being wet helps avoids hypovolemia and hypotensive episodes
Ultrafiltration is defined as
- ANS-controlled fluid removed by manipulation of hydrostatic pressure
Why is meticulous hand hygiene so important in healthcare?
- ANS-its the single most important intervention in preventing HAI's
What should be done to the heparin infusion line if a patient does not have maintenance heparin
prescribed?
- ANS-Clamp & Knot the heparin line
When is a pre treatment assessment by the licensed nurse required? check all that apply
- ANS-When it is mandated by state law ( pre-treatement vs within 1 hour after start of tx) , when
