Davita Rise Final Exam 2022
13. What removes chlorine/chloramines? - correct answer-carbon tanks
14: needle - correct answer-not to exceed 450 ml/min without physician prescription
15: needle - correct answer-350-450 ml/min
16: needle - correct answer-250-350 ml/min
17: needle - correct answer-200-250 ml/min
A common cause of hypertension in dialysis patients is - correct answer-• fluid overload
Action if results are too high post primary tank - correct answer-o Repeat the test- if still too
high - move onto secondary port and test, remember to notify biomed and FA
• F/U if secondary test results are within limits o Every 30 minutes
• F/U if secondary test results are too high o Stop dialysis by placing dialysis delivery system
into bypass-do not rinse patients' blood back
Advanced Cannulator - correct answer-Has completed all the competencies for NFACT
training, expert cannulation skills documented and can determine if rule of 6's have been met
Air / Foam Detector
• Alarm Causes
• Appropriate Intervention - correct answer-o Air in blood lines
o Look at the circuit for blood in the system. DO NOT return blood with air in the system.
Aluminum in water used for dialysis causes - correct answer-• Anemia
• Bone disease
• Nausea
• Vomiting
Arterial Pressure
Low alarm / more positive causes: - correct answer-o Separation of blood tubing from arterial
access − Decrease in blood pump speed
o Appropriate Intervention: verify connections are secure/ increase blood pump speed
Arterial Pressure
• High alarm/ more negative causes: Arterial needle clotted, infiltrated, or poorly positioned -
correct answer-o Kinking of the arterial blood tubing between access and monitor −
Hypotension
o Appropriate Intervention: Check needle placement, ensure lines are not kinked, check tape
to ensure they are not kinked or applied too tightly
, At what time are medications containing a preservative discarded? - correct answer-• 28
days (except when the manufacturer specifies differently such as Epogen MDV at 21 days)
Beginner Cannulator: - correct answer-Less than 6 months experience or less than 10
successful cannulations.
Blood Leak Detector
• Alarm Causes
Appropriate Intervention - correct answer-o Air bubbles in the dialysate, dirty sensor
o Check dialysate connections, bleach machine
Chlorine in water used for hemodialysis causes - correct answer-hemolysis
Chlorine/Chloramine testing • When - correct answer-o Always test while the RO is actively
supplying water: After the RO has operated for at least 15 minutes, before the first shift of
patients, and every 4 hours
Chlorine/Chloramine testing, Where - correct answer-o After Primary carbon tank sample
port • Acceptable result o Less than or equal to 0.1 mg/l
Commonly prescribed medications used for treating individuals with Chronic Kidney Disease
Mineral Bone Disorder? - correct answer-• Phosphate binders, Vit D (Hectorol), and
Cinacalcet
Conductivity & pH
• Alarm Causes - correct answer-o When the dialysate is mixed incorrectly or there is no
water, acid or bicarb
(NOTE: dialysate can be mixed improperly and machine still goes into conductivity because
sodium is the primary ion contributing to conductivity), debris or precipitate in the lines/filter,
equipment failure or machine needing calibration
Conductivity & pH
Appropriate Intervention - correct answer-o Recheck dialysate conductivity, place the
machines in bypass, potentially change to a different dialysate of the same prescription to
see if alarm issue is resolved
Convection: - correct answer-Solutes dragged across SPM along with fluid
Data Collection-PCT - correct answer-Noting presence of edema
Heart rate and rhythm
Respiration rate, rhythm, recognizing unusual breath sounds
Machine parameters, safety check
Dialysate endotoxin testing results - correct answer-• Acceptable level: <0.25 EU/ml
• Action level: 0.25 to < 0.50 EU/ml
• Unacceptable level: 0.50 EU/ml or >
13. What removes chlorine/chloramines? - correct answer-carbon tanks
14: needle - correct answer-not to exceed 450 ml/min without physician prescription
15: needle - correct answer-350-450 ml/min
16: needle - correct answer-250-350 ml/min
17: needle - correct answer-200-250 ml/min
A common cause of hypertension in dialysis patients is - correct answer-• fluid overload
Action if results are too high post primary tank - correct answer-o Repeat the test- if still too
high - move onto secondary port and test, remember to notify biomed and FA
• F/U if secondary test results are within limits o Every 30 minutes
• F/U if secondary test results are too high o Stop dialysis by placing dialysis delivery system
into bypass-do not rinse patients' blood back
Advanced Cannulator - correct answer-Has completed all the competencies for NFACT
training, expert cannulation skills documented and can determine if rule of 6's have been met
Air / Foam Detector
• Alarm Causes
• Appropriate Intervention - correct answer-o Air in blood lines
o Look at the circuit for blood in the system. DO NOT return blood with air in the system.
Aluminum in water used for dialysis causes - correct answer-• Anemia
• Bone disease
• Nausea
• Vomiting
Arterial Pressure
Low alarm / more positive causes: - correct answer-o Separation of blood tubing from arterial
access − Decrease in blood pump speed
o Appropriate Intervention: verify connections are secure/ increase blood pump speed
Arterial Pressure
• High alarm/ more negative causes: Arterial needle clotted, infiltrated, or poorly positioned -
correct answer-o Kinking of the arterial blood tubing between access and monitor −
Hypotension
o Appropriate Intervention: Check needle placement, ensure lines are not kinked, check tape
to ensure they are not kinked or applied too tightly
, At what time are medications containing a preservative discarded? - correct answer-• 28
days (except when the manufacturer specifies differently such as Epogen MDV at 21 days)
Beginner Cannulator: - correct answer-Less than 6 months experience or less than 10
successful cannulations.
Blood Leak Detector
• Alarm Causes
Appropriate Intervention - correct answer-o Air bubbles in the dialysate, dirty sensor
o Check dialysate connections, bleach machine
Chlorine in water used for hemodialysis causes - correct answer-hemolysis
Chlorine/Chloramine testing • When - correct answer-o Always test while the RO is actively
supplying water: After the RO has operated for at least 15 minutes, before the first shift of
patients, and every 4 hours
Chlorine/Chloramine testing, Where - correct answer-o After Primary carbon tank sample
port • Acceptable result o Less than or equal to 0.1 mg/l
Commonly prescribed medications used for treating individuals with Chronic Kidney Disease
Mineral Bone Disorder? - correct answer-• Phosphate binders, Vit D (Hectorol), and
Cinacalcet
Conductivity & pH
• Alarm Causes - correct answer-o When the dialysate is mixed incorrectly or there is no
water, acid or bicarb
(NOTE: dialysate can be mixed improperly and machine still goes into conductivity because
sodium is the primary ion contributing to conductivity), debris or precipitate in the lines/filter,
equipment failure or machine needing calibration
Conductivity & pH
Appropriate Intervention - correct answer-o Recheck dialysate conductivity, place the
machines in bypass, potentially change to a different dialysate of the same prescription to
see if alarm issue is resolved
Convection: - correct answer-Solutes dragged across SPM along with fluid
Data Collection-PCT - correct answer-Noting presence of edema
Heart rate and rhythm
Respiration rate, rhythm, recognizing unusual breath sounds
Machine parameters, safety check
Dialysate endotoxin testing results - correct answer-• Acceptable level: <0.25 EU/ml
• Action level: 0.25 to < 0.50 EU/ml
• Unacceptable level: 0.50 EU/ml or >
