Davita Final Exam Review Questions
(Answered) Verified Solution
Most important route in which pathogens are transmitted?
Contact
A person kidney failure
Weakens their immune system
The most common factor contributing bacterimia in dialysis patients?
The use of catheters
Fever
Any temperature greater than 100 degrees Fahrenheit or 2 degrees above baseline with
symptoms
DDS ( dialysis disequilibrium syndrome)
Caused by missed treatments
Patients with AKI
Keep them more wet than dry
How to respond to surveyor when you don't know the answer.
"I don't know the answer, but I will find out"
Water hardness test
End of the day
Reponse to water alarm
Put machine in bypass
Run RO for 10 min will cause?
False negative, suppose to be 15 min.
Access rope latter
Site heal in 2 weeks
Why do we not flip arterial needle?
Back eye on the needle
Water check chlorine and chlorimine
Causes hemolysis
Sure seal
Once bleeding has stopped remove, apply gauze, and tape or put bandaid
Why do we have rule of 6's?
For fistulas
Whistling sound
Outflow stenosis
New access
Advanced cannulator
How to prevent aneurysms
Rotate sites
What happens if you don't follow P&P
Patient can sue you
Conductivity
13-15.5 +-0.4
pH
,6.9-7.6
Why check pH?
Check the acid base balance for acceptable range
Surveyor
If person don't check chlorine or chloromine immediate jeopardy can happen
What can cause an increase in venous pressure
Clotting in venous chamber
How do you know "pain eze" is ready?
Blanching of skin
Heparin bolts wait time
5 min
Heparin
28 days
Binders should be taken
With meals
What are possible consequences of poor or incomplete documentation
Open attack on care
Health literacy
Degree in which individuals understand their basic health information
What makes dialysis patients more susceptible to HAI's
Immunosuppressed, vulnerable to infections
What are v-tags and why are they important
State regulations to be met to state guidelines
Why is wearing gloves important
Reduce the risk of hand contamination and prevents the transfer of organisms on hands
Mineral bone disease (MBD)
Medications are sensipar, vitamin D, binders
Osmosis
Movement of fluid low to high concentration
Diffusion
Movement of particles of high to low concentration
Aneurysm
Found in fistulas
Sudoaneurysms
Are found in grafts (false)
DARN
Desire, ability, reason, need
Primary cause of anemia
Lack of epo
Air embolism
COLT- clamp line, off pump, left side, trendelenburg
What does hypertension lead to?
Left ventricular hypertrophy
Three basic principles of self-management
, Dealing with consequences of illness, focusing on problem solving, decision making,
and patient confidence, and placing patients and care providers in partnership with
specific responsibilities
Teach back method
Having patients repeat back information that was provided to them
BP reading cuff too small?
High reading
BP reading cuff too large?
Low reading
Temperature on machine
Greater than 42 degrees can cause hemolysis
Hypertension
Pre dialysis should be less than 140/90
Post dialysis should be less than 130/80
Hypotension
Systolic less than 90
Diastolic less than 60
Drop in systolic greater than 20
Pyrogens reaction
Dead or dying bacteria do not return blood
Dialysis restore how much kidney function
15%
Four key elements affected in ckd-mbd?
Calcium, PTH, phosphorus, calcitrol (vitamin D)
Six items included administered medications?
Allergies
Time
Route
Amount
Medications
Patient
How to document late entries?
Notation "late entry" include date and time
SMART communication stand for
Simple
Meaningful
Actual
Read
Teach
What are three things you should not include in an AOR?
Personal opinions
Speculations
Vendettas
What makes dialysis patients more susceptible to HAIs
Immunosuppressed, vulnerable to infection
(Answered) Verified Solution
Most important route in which pathogens are transmitted?
Contact
A person kidney failure
Weakens their immune system
The most common factor contributing bacterimia in dialysis patients?
The use of catheters
Fever
Any temperature greater than 100 degrees Fahrenheit or 2 degrees above baseline with
symptoms
DDS ( dialysis disequilibrium syndrome)
Caused by missed treatments
Patients with AKI
Keep them more wet than dry
How to respond to surveyor when you don't know the answer.
"I don't know the answer, but I will find out"
Water hardness test
End of the day
Reponse to water alarm
Put machine in bypass
Run RO for 10 min will cause?
False negative, suppose to be 15 min.
Access rope latter
Site heal in 2 weeks
Why do we not flip arterial needle?
Back eye on the needle
Water check chlorine and chlorimine
Causes hemolysis
Sure seal
Once bleeding has stopped remove, apply gauze, and tape or put bandaid
Why do we have rule of 6's?
For fistulas
Whistling sound
Outflow stenosis
New access
Advanced cannulator
How to prevent aneurysms
Rotate sites
What happens if you don't follow P&P
Patient can sue you
Conductivity
13-15.5 +-0.4
pH
,6.9-7.6
Why check pH?
Check the acid base balance for acceptable range
Surveyor
If person don't check chlorine or chloromine immediate jeopardy can happen
What can cause an increase in venous pressure
Clotting in venous chamber
How do you know "pain eze" is ready?
Blanching of skin
Heparin bolts wait time
5 min
Heparin
28 days
Binders should be taken
With meals
What are possible consequences of poor or incomplete documentation
Open attack on care
Health literacy
Degree in which individuals understand their basic health information
What makes dialysis patients more susceptible to HAI's
Immunosuppressed, vulnerable to infections
What are v-tags and why are they important
State regulations to be met to state guidelines
Why is wearing gloves important
Reduce the risk of hand contamination and prevents the transfer of organisms on hands
Mineral bone disease (MBD)
Medications are sensipar, vitamin D, binders
Osmosis
Movement of fluid low to high concentration
Diffusion
Movement of particles of high to low concentration
Aneurysm
Found in fistulas
Sudoaneurysms
Are found in grafts (false)
DARN
Desire, ability, reason, need
Primary cause of anemia
Lack of epo
Air embolism
COLT- clamp line, off pump, left side, trendelenburg
What does hypertension lead to?
Left ventricular hypertrophy
Three basic principles of self-management
, Dealing with consequences of illness, focusing on problem solving, decision making,
and patient confidence, and placing patients and care providers in partnership with
specific responsibilities
Teach back method
Having patients repeat back information that was provided to them
BP reading cuff too small?
High reading
BP reading cuff too large?
Low reading
Temperature on machine
Greater than 42 degrees can cause hemolysis
Hypertension
Pre dialysis should be less than 140/90
Post dialysis should be less than 130/80
Hypotension
Systolic less than 90
Diastolic less than 60
Drop in systolic greater than 20
Pyrogens reaction
Dead or dying bacteria do not return blood
Dialysis restore how much kidney function
15%
Four key elements affected in ckd-mbd?
Calcium, PTH, phosphorus, calcitrol (vitamin D)
Six items included administered medications?
Allergies
Time
Route
Amount
Medications
Patient
How to document late entries?
Notation "late entry" include date and time
SMART communication stand for
Simple
Meaningful
Actual
Read
Teach
What are three things you should not include in an AOR?
Personal opinions
Speculations
Vendettas
What makes dialysis patients more susceptible to HAIs
Immunosuppressed, vulnerable to infection
