A patient with acute kidney injury (AKI) dialyzes in the out-patient facility. With regards
to the patient's target weight, why is being "wet" better than being too dry - ANS -
Being wet helps avoid hypovolemia and hypotensive episodes
a PCT greets a patient and the patient reports feeling short of breath. The PCT notices
that the patients lips have a blue hue. The PCT would: - ANS - Complete data
collection and PCT must notify the RN if there are any abnormal findings prior to
initiation of tx
A recommended intervention for muscle cramps is - ANS - Turning the ultrafiltration
rate (UFR) off
A standing post-treatment blood pressure reading of
is considered an abnormal finding and should be reported to a licensed nurse. - ANS -
both A & B
- Standing systolic BP greater than 140 mm/Hg or less than 90 mm/Hg
- Standing diastolic BP greater than 90 mm/Hg or less than 50 mm/Hg
A surveyor asks you a question. Which of the following statements would be a good
answer? - ANS - I do not know the answer but I will find out
Acid concentrate replaces the excretory function of normal kidney function by - ANS -
normalizing electrolytes
All documentation on machine setup and pre-treatment patient information - ANS -
Must be entered into the computer before the treatment is initiated
At what time do you perform water hardness testing? - ANS - At the end of the
treatment day
Can you document patient vital signs under another teammate already signed into the
computer? - ANS - No- Log into the computer system under your credentials and
document
, Cynthia missed her treatment on Saturday and arrived Tuesday for her next scheduled
treatment. She complains of leg weakness and needs a wheelchair to weigh in. What
complication might Cynthia be experiencing? - ANS - hyperkalemia
DaVita Quality Index (DQI) success is achieved - ANS - managing individual patients
first & allowing scores to follow, knowing each team members role is improving DQI
scores, use of the continous quality improvement process to help identify trends and
makes improvements
all of the above
Dialysis replaces only_____percent of normal kidney function. - ANS - 15%
Documentation in the medical record - ANS - Is a permanent legal record of the care
provided
Fever caused by a pyrogenic reaction will most likely occur at what time during the
treatment? - ANS - Within 45 to 75 minutes
Flipping the arterial vascular access needle - ANS -
For patients' with Acute Kidney Injury (AKI) which statement is correct? - ANS - A
nursing assesment prior to tx initiation is always required
How do you verify that the patient is stable and safe for discharge after the dialysis
treatment? - ANS - Evaluate the effectiveness of the treatment by comparing data to
pre-dialysis findings PCT's notify the nurse if there are any unusual findings
all of the above
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - ANS -
decrease
If you notice that a patient's caretaker is struggling to meet the demands of the patient's
treatment regime you should - ANS - contact social worker
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an
appropriate patient care assignment? - ANS - caring for HBsAG positive and hepatitis
B susceptible patients at the same time
in the event of a patient experiencing a seizure, the dialysis treatment should be - ANS
- Discontinued if the seizure is severe or the patient does not respond to treatment