Final Exam DaVita (RN)
#1 thing we do - ANS-patient safety
\2 common routes for CVC infection - ANS-into cath via contact of the insertion site and via
cath lumen- scrub the hub for 60 seconds each limb
\2 independent nursing functions - ANS-patient care and technical skills
\a patient's protein status is affected by nutritional and non-nutritional factors. What can you
do to prevent a drop in your patient's albumin? - ANS-prevent HAIs
\Acid lasts for how long when opened? - ANS-30 days
if additives discard after treatment
\at what time should the post treatment data collection be completed - ANS-after the
treatment has been completed
\Bicarb lasts for how long once opened? - ANS-24 hours
\blood pH - ANS-7.35-7.45
\BUN lab draws post dialysis - ANS-turn off or decrease UR to 50
decrease DFR to 300 or place machine in bypass
reduce BFR to 100
wait 15 seconds for AVG/AVF and CVC (WAIT 15 seconds!!)
Obtain from A Line
\Calciphylaxis (soft tissue calcification) is a consequence of which out or range labs? -
ANS-Ca, PTH, Phosphorus
\CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following
conditions is an intra-renal cause of CKD - ANS-HTN
\Conductivity acceptable rrange - ANS-13-15.5 and +/- 0.4 of the machine
\Convetion - ANS-solute being dragged across the semipermeable membrane
\Diffusion - ANS-particles from high to low concentrations
\during dialysis, the movement of bicarb from the dialysate into the blood - ANS-helps
normalize body pH
\Excess of this electrolyte causes slowing of the hearts electrical system - ANS-k
\fluid overload and HTN lead to LVH, this means - ANS-hypotensive episodes are more likely
to occur during the dialysis treatment
\HD replaces what percent of kidney function - ANS-15%
\heparin is considered what - ANS-systemic
\hormone stimulated in bone marrow production - ANS-erythropoeitin
\How do phosphate binders work? - ANS-they prevent the phosphorus in food from being
absorbed when taken with meals
\How do you identify disinfectant infusion is happening - ANS-burning or pain at that access
site
\how long do you scrub the hub of a CVC? - ANS-60 seconds each limb
\How long should Vanc be administered? - ANS-over 60 minutes
\How much air can cause a patient harm? - ANS-10mL
\How often do you draw Hepatitis B - ANS-draw every 28 days they are good for 30 days
\how often do you rotate sites? - ANS-every 14 days
\hypotension - ANS-a drop in BP by 20
decrease in MAP by 10
, if pre SBP less than 90
drop of 10 with symptoms
\ICEBOAT? - ANS-2 Identifiers
Consent valid
Equipment is functioning
Hep B status
Orders are complete
Access is patent
Documentation is timely
? any questions/concerns
\if drawing labs during dialysis how do you label them? - ANS-DRAWING DURING
DIALYSIS
\In what position should you place a patient who experiences intradialytic hypotension? -
ANS-Supine
\inflow stenosis is - ANS-with AVF, venous stenosis, water hammer pulse
\intermittent - ANS-up and down approach
\Intervention for hypotension - ANS-take BP, minimum UFR, give NS, elevate feet, supine
position
\it is important to use this team approach when dealing with psychological patients -
ANS-multidisplinary
\kidneys regulate BO by realeasing - ANS-renin
\Knowing what caused your patient's CKD - ANS-is important because the underlying
disease could cause health complications that can impact the dialysis treatment
\lifespan of a RBC for dialysis patient - ANS-60 days
\Linear profile - ANS-fluid gainers, fluid overload, patients have hypotension toward the end
of treatment
\maintaining a normal serum Ca levels are the primary function of this hormone - ANS-PTH
\measures the RBC by weight - ANS-HgB
\Most common cause for CKD in USA - ANS-DM
\mucosal alteration in the stomach of patients with AKI can lead to this - ANS-anorexia
\Offer a patient of this is an example of oral sodium loading - ANS-broth
\one thing to improve CAT audit scores - ANS-practice good hand hygiene
\one thing to improve meerCAT score - ANS-store look-a-like, sound-a-like products
appropriately
\Osmosis - ANS-fluid from lower to higher concentration
\outflow stenosis - ANS-with AVG, whistling sound
\Patient with cardiac disease are 10x more likely to develop intra HTN - ANS-LVH
\pH of dialysate - ANS-6.9-7.6
\Platelets should be adminstered how - ANS-thru venous med lock on the venous drip
chamber using an IV pump
\Preventing hypotensive episodes during dialysis treatment is important because they are
associated with - ANS-a higher mortality rate
\restless leg syndrome is a complication of - ANS-peripheral neropathy
\Rule of 6 is good for? - ANS-new AVF to guide
\Stepped profile - ANS-hypotension happens midway may start at 800 then reduce down
\the A in smart communication stands for - ANS-actual- just report the facts
\the kidneys excretory functions include - ANS-normalizing electrolytes
#1 thing we do - ANS-patient safety
\2 common routes for CVC infection - ANS-into cath via contact of the insertion site and via
cath lumen- scrub the hub for 60 seconds each limb
\2 independent nursing functions - ANS-patient care and technical skills
\a patient's protein status is affected by nutritional and non-nutritional factors. What can you
do to prevent a drop in your patient's albumin? - ANS-prevent HAIs
\Acid lasts for how long when opened? - ANS-30 days
if additives discard after treatment
\at what time should the post treatment data collection be completed - ANS-after the
treatment has been completed
\Bicarb lasts for how long once opened? - ANS-24 hours
\blood pH - ANS-7.35-7.45
\BUN lab draws post dialysis - ANS-turn off or decrease UR to 50
decrease DFR to 300 or place machine in bypass
reduce BFR to 100
wait 15 seconds for AVG/AVF and CVC (WAIT 15 seconds!!)
Obtain from A Line
\Calciphylaxis (soft tissue calcification) is a consequence of which out or range labs? -
ANS-Ca, PTH, Phosphorus
\CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following
conditions is an intra-renal cause of CKD - ANS-HTN
\Conductivity acceptable rrange - ANS-13-15.5 and +/- 0.4 of the machine
\Convetion - ANS-solute being dragged across the semipermeable membrane
\Diffusion - ANS-particles from high to low concentrations
\during dialysis, the movement of bicarb from the dialysate into the blood - ANS-helps
normalize body pH
\Excess of this electrolyte causes slowing of the hearts electrical system - ANS-k
\fluid overload and HTN lead to LVH, this means - ANS-hypotensive episodes are more likely
to occur during the dialysis treatment
\HD replaces what percent of kidney function - ANS-15%
\heparin is considered what - ANS-systemic
\hormone stimulated in bone marrow production - ANS-erythropoeitin
\How do phosphate binders work? - ANS-they prevent the phosphorus in food from being
absorbed when taken with meals
\How do you identify disinfectant infusion is happening - ANS-burning or pain at that access
site
\how long do you scrub the hub of a CVC? - ANS-60 seconds each limb
\How long should Vanc be administered? - ANS-over 60 minutes
\How much air can cause a patient harm? - ANS-10mL
\How often do you draw Hepatitis B - ANS-draw every 28 days they are good for 30 days
\how often do you rotate sites? - ANS-every 14 days
\hypotension - ANS-a drop in BP by 20
decrease in MAP by 10
, if pre SBP less than 90
drop of 10 with symptoms
\ICEBOAT? - ANS-2 Identifiers
Consent valid
Equipment is functioning
Hep B status
Orders are complete
Access is patent
Documentation is timely
? any questions/concerns
\if drawing labs during dialysis how do you label them? - ANS-DRAWING DURING
DIALYSIS
\In what position should you place a patient who experiences intradialytic hypotension? -
ANS-Supine
\inflow stenosis is - ANS-with AVF, venous stenosis, water hammer pulse
\intermittent - ANS-up and down approach
\Intervention for hypotension - ANS-take BP, minimum UFR, give NS, elevate feet, supine
position
\it is important to use this team approach when dealing with psychological patients -
ANS-multidisplinary
\kidneys regulate BO by realeasing - ANS-renin
\Knowing what caused your patient's CKD - ANS-is important because the underlying
disease could cause health complications that can impact the dialysis treatment
\lifespan of a RBC for dialysis patient - ANS-60 days
\Linear profile - ANS-fluid gainers, fluid overload, patients have hypotension toward the end
of treatment
\maintaining a normal serum Ca levels are the primary function of this hormone - ANS-PTH
\measures the RBC by weight - ANS-HgB
\Most common cause for CKD in USA - ANS-DM
\mucosal alteration in the stomach of patients with AKI can lead to this - ANS-anorexia
\Offer a patient of this is an example of oral sodium loading - ANS-broth
\one thing to improve CAT audit scores - ANS-practice good hand hygiene
\one thing to improve meerCAT score - ANS-store look-a-like, sound-a-like products
appropriately
\Osmosis - ANS-fluid from lower to higher concentration
\outflow stenosis - ANS-with AVG, whistling sound
\Patient with cardiac disease are 10x more likely to develop intra HTN - ANS-LVH
\pH of dialysate - ANS-6.9-7.6
\Platelets should be adminstered how - ANS-thru venous med lock on the venous drip
chamber using an IV pump
\Preventing hypotensive episodes during dialysis treatment is important because they are
associated with - ANS-a higher mortality rate
\restless leg syndrome is a complication of - ANS-peripheral neropathy
\Rule of 6 is good for? - ANS-new AVF to guide
\Stepped profile - ANS-hypotension happens midway may start at 800 then reduce down
\the A in smart communication stands for - ANS-actual- just report the facts
\the kidneys excretory functions include - ANS-normalizing electrolytes
