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
#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
