DaVita (RN) Final Exam Questions And Answers Verified 100% Correct

DaVita (RN) Final Exam Questions And Answers Verified 100% Correct which is the primary device for purifying the water used in dialysis ---ANSWER---the RO ICEBOAT? ---ANSWER---2 Identifiers Consent valid Equipment is functioning Hep B status Orders are complete Access is patent Documentation is timely ? any questions/concerns Your patient complains of ringing in the ears, being nauseated and having cold clammy skin. The most likely causes is ---ANSWER---Hypotension What is a likely cause for dysrhythmias? ---ANSWER---Hypotension, heart disease, or rapid changes in K In what position should you place a patient who experiences intradialytic hypotension? - --ANSWER-- Supine What do you do for a patient with an air emblolism? ---ANSWER---Clamp lines, put patient on left side, Trendelenburg, attempt to aspirate the air, administer O2 per MD, monitor VS closely, initiate CPR if needed, notify code team Why is thirst control and limiting interdialytic weight gains a shared responsibilyt between the healthcare team and the patient? ---ANSWER---Caregivers can contribute to Na loading during dialysis causing an increased thirst and fluid intake between treatments Preventing hypotensive episodes during dialysis treatment is important because they are associated with ---ANSWER---a higher mortality rate The mortality risk for patient who experience two or more episodes of intradialytic hypotension per week increases to ---ANSWER---70% which condition may impair a patient's increase in pulse rate as a response to hypovoilemia ---ANSWER---autonomic neuropathy 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? ---ANSWER---prevent HAIs Calciphylaxis (soft tissue calcification) is a consequence of which out or range labs? --- ANSWER---Ca, PTH, Phosphorus How do phosphate binders work? ---ANSWER---they prevent the phosphorus in food from being absorbed when taken with meals The method to protect against infection by pathogenic microorganisms when preparing and administering medications is called ---ANSWER---aseptic technique Why must you wait 3-5 minutes after administering the initial heparin bolus before initiating treatment? ---ANSWER---takes 3-5 minutes for heparin to become systemic When do you take PO4 binders? ---ANSWER---with meals and snacks #1 thing we do ---ANSWER---patient safety Conductivity acceptable rrange ---ANSWER---13-15.5 and +/- 0.4 of the machine pH of dialysate ---ANSWER---6.9-7.6 blood pH ---ANSWER---7.35-7.45 When is the RO checked? ---ANSWER---before the first patient and every 4 hours afterwards Bicarb lasts for how long once opened? ---ANSWER---24 hours Acid lasts for how long when opened? ---ANSWER---30 days if additives discard after treatment lifespan of a RBC for dialysis patient ---ANSWER---60 days Ultrafiltration ---ANSWER---fluid passing thru a membrane Convetion ---ANSWER---solute being dragged across the semipermeable membrane Diffusion ---ANSWER---particles from high to low concentrations Osmosis ---ANSWER---fluid from lower to higher concentration How much air can cause a patient harm? ---ANSWER---10mL What is the solution of bleach to clean up a spill? ---ANSWER---1:10 2 independent nursing functions ---ANSWER---patient care and technical skills 2 common routes for CVC infection ---ANSWER---into cath via contact of the insertion site and via cath lumen- scrub the hub for 60 seconds each limb Most common cause for CKD in USA ---ANSWER---DM What is the percent of kidney function lost before going on dialysis ---ANSWER---75% HD replaces what percent of kidney function ---ANSWER---15% What is the direct result of intravascular fluid overload ---ANSWER---HTN Patient with cardiac disease are 10x more likely to develop intra HTN ---ANSWER--- LVH Offer a patient of this is an example of oral sodium loading ---ANSWER---broth this electrolyte is often elevated with patients with severe itching ---ANSWER--- phosphorus kidneys regulate BO by realeasing ---ANSWER---renin hormone stimulated in bone marrow production ---ANSWER---erythropoeitin Excess of this electrolyte causes slowing of the hearts electrical system ---ANSWER---k mucosal alteration in the stomach of patients with AKI can lead to this ---ANSWER--- anorexia what is the inflammation aroudn the heart called ---ANSWER---pericarditis restless leg syndrome is a complication of ---ANSWER---peripheral neropathy measures the RBC by weight ---ANSWER---HgB what is the diminished quality and quality of RBC ---ANSWER---anemia