DAVITA FINAL EXAM 2024 100% CORRECT
GUARANTEED GRADE A+
Per Davita policy, fever and chills is defined as
• Any temperature greater than 99°F or increase over baseline of 1°F with symptoms
• Any temperature greater than 99°F or increase over baseline of 1°F without symptoms
• Any temperature greater than 100°F or increase over baseline of 2°F with symptoms
• Any temperature greater than 100°F or increase over baseline of 2°F without symptoms
- answerc. Any temperature greater than 100°F or increase over baseline of 2°F with
symptoms
Documentation in the medical record
• Includes caregiver opinion.
• Belongs to the client.
• Is a permanent legal record of the care provided
• Is not subject to review by surveyors - answerc. Is a permanent legal record of the care
provided
The PCT notes that a client still has considerable edema in her legs when performing
the post-treatment data collection. In addition to informing the nurse, what should the
PCT document?
• Leave the data collection entry blank
• Document "RN to assess"
• Document the noted swelling and that the RN was informed
• Document "N/A" since the nurse will assess and document - answerc. Document the
noted swelling and that the RN was informed
When the client's calculated UF Goal exceeds the maximum UFR ordered by the nephrologist
,• The calculated UF Goal should be entered into Snappy and the UFR adjusted once the
client shows signs of becoming hypotensive
• The client must give permission to exceed the ordered maximum UFR since fluid overload is
harmful and every effort should be made to reach the ordered target weight
• The calculated UF Goal must be adjusted to not exceed the ordered maximum UFR and
the reason documented
• The charge nurse must assess the client prior to treatment initiation to determine a safe UF
Goal for the client - answerc. The calculated UF Goal must be adjusted to not exceed the
ordered maximum UFR and the reason documented
DQI (Davita Quality Index) is achieved by
• Managing individual clients first and allowing scores to follow
• Knowing each team member's role in improving DQI scores
• Using the CQI process to help identify trends and make improvements
• All of the above - answerd. All of the above
Per the CDC, which is the most common factor contributing to bacteremias in dialysis clients?
• Inappropriate skin preparation prior to vascular access needle insertion
• The use of catheters for hemodialysis
• Poor needle site rotation when cannulating an internal vascular access
• Exposing needle insertion sites to unclean environment areas, e.g. contaminated chair
side tables during dialysis - answerb. The use of catheters for hemodialysis
Which statement is true about sinks used for hand washing?
• clients may not use sinks that are dedicated for teammate hand washing, but should have
their own sinks
• Hand washing sinks may be used to discard clean solution such as left-over normal saline
in a sterile bag
, • Hand washing sinks must be dedicated for hand washing purposes only and should
remain clean
• Hand washing sinks may be used to discard bleach solution since the solution kills germs
and has the added benefit of disinfecting the sink - answerc. Hand washing sinks must be
dedicated for hand washing purposes only and should remain clean
If a client presents with dialysis associated pericarditis, treatment includes more frequent
dialysis and
• Heparin restriction to prevent bleeding into the pericardium and tamponade
• A higher potassium bath to prevent dysrhythmias
• A lower BFR and DFR to prevent dialysis disequilibrium syndrome
• An increased BFR and DFR to increase toxin removal - answera. Heparin restriction to
prevent bleeding into the pericardium and tamponade
If your facility dialyzes Hepatitis B positive clients, which assignment would NOT be an
appropriate client care assignment
• Caring for HBsAg positive and Hepatitis B immune clients at the same time
• Caring for HBsAg and Hepatitis B susceptible clients at the same time
• Caring for Hepatitis B susceptible clients and those in the process of receiving the
vaccination at the same time
• Caring for Hepatitis B immune and susceptible clients at the same time - answerb. Caring
for HBsAg and Hepatitis B susceptible clients at the same time
The best way to help clients successfully change behaviors is to
• Scare them through describing serious health risks of the current behavior
• Tell them how to accomplish the desired change
• List medically sound reasons why change is necessary
• Inspire behavior change through support, compassion, and empathy - answerd. Inspire
behavior change through support, compassion, and empathy
GUARANTEED GRADE A+
Per Davita policy, fever and chills is defined as
• Any temperature greater than 99°F or increase over baseline of 1°F with symptoms
• Any temperature greater than 99°F or increase over baseline of 1°F without symptoms
• Any temperature greater than 100°F or increase over baseline of 2°F with symptoms
• Any temperature greater than 100°F or increase over baseline of 2°F without symptoms
- answerc. Any temperature greater than 100°F or increase over baseline of 2°F with
symptoms
Documentation in the medical record
• Includes caregiver opinion.
• Belongs to the client.
• Is a permanent legal record of the care provided
• Is not subject to review by surveyors - answerc. Is a permanent legal record of the care
provided
The PCT notes that a client still has considerable edema in her legs when performing
the post-treatment data collection. In addition to informing the nurse, what should the
PCT document?
• Leave the data collection entry blank
• Document "RN to assess"
• Document the noted swelling and that the RN was informed
• Document "N/A" since the nurse will assess and document - answerc. Document the
noted swelling and that the RN was informed
When the client's calculated UF Goal exceeds the maximum UFR ordered by the nephrologist
,• The calculated UF Goal should be entered into Snappy and the UFR adjusted once the
client shows signs of becoming hypotensive
• The client must give permission to exceed the ordered maximum UFR since fluid overload is
harmful and every effort should be made to reach the ordered target weight
• The calculated UF Goal must be adjusted to not exceed the ordered maximum UFR and
the reason documented
• The charge nurse must assess the client prior to treatment initiation to determine a safe UF
Goal for the client - answerc. The calculated UF Goal must be adjusted to not exceed the
ordered maximum UFR and the reason documented
DQI (Davita Quality Index) is achieved by
• Managing individual clients first and allowing scores to follow
• Knowing each team member's role in improving DQI scores
• Using the CQI process to help identify trends and make improvements
• All of the above - answerd. All of the above
Per the CDC, which is the most common factor contributing to bacteremias in dialysis clients?
• Inappropriate skin preparation prior to vascular access needle insertion
• The use of catheters for hemodialysis
• Poor needle site rotation when cannulating an internal vascular access
• Exposing needle insertion sites to unclean environment areas, e.g. contaminated chair
side tables during dialysis - answerb. The use of catheters for hemodialysis
Which statement is true about sinks used for hand washing?
• clients may not use sinks that are dedicated for teammate hand washing, but should have
their own sinks
• Hand washing sinks may be used to discard clean solution such as left-over normal saline
in a sterile bag
, • Hand washing sinks must be dedicated for hand washing purposes only and should
remain clean
• Hand washing sinks may be used to discard bleach solution since the solution kills germs
and has the added benefit of disinfecting the sink - answerc. Hand washing sinks must be
dedicated for hand washing purposes only and should remain clean
If a client presents with dialysis associated pericarditis, treatment includes more frequent
dialysis and
• Heparin restriction to prevent bleeding into the pericardium and tamponade
• A higher potassium bath to prevent dysrhythmias
• A lower BFR and DFR to prevent dialysis disequilibrium syndrome
• An increased BFR and DFR to increase toxin removal - answera. Heparin restriction to
prevent bleeding into the pericardium and tamponade
If your facility dialyzes Hepatitis B positive clients, which assignment would NOT be an
appropriate client care assignment
• Caring for HBsAg positive and Hepatitis B immune clients at the same time
• Caring for HBsAg and Hepatitis B susceptible clients at the same time
• Caring for Hepatitis B susceptible clients and those in the process of receiving the
vaccination at the same time
• Caring for Hepatitis B immune and susceptible clients at the same time - answerb. Caring
for HBsAg and Hepatitis B susceptible clients at the same time
The best way to help clients successfully change behaviors is to
• Scare them through describing serious health risks of the current behavior
• Tell them how to accomplish the desired change
• List medically sound reasons why change is necessary
• Inspire behavior change through support, compassion, and empathy - answerd. Inspire
behavior change through support, compassion, and empathy
