FINAL EXAM DAVITA (RN) QUESTIONS
AND ANSWERS
Whengdialyzinggagpatientgwithgacutegkidneyginjury,gonegtaskgofgthegpatientgcare
gteammatesgisgtogmonitorgbloodgpressuregandgweightgclosely.gWhygisgitgimporta
nt?g-gans-
hypovolemiagandghypotensivegepisodesgcangcausegrenalgischemiagandgcangfurth
ergdamagegthegkidneys
CKDgcanghavegitsgorgingpre-renalg,gintra-
renalmgorgpostgrenal.gWhichgofgthegfollowinggconditionsgisgangintra-
renalgcausegofgCKDg-gans-HTN
Knowinggwhatgcausedgyourgpatient'sgCKDg-gans-
isgimportantgbecausegthegunderlyinggdiseasegcouldgcauseghealthgcomplicationsgt
hatgcangimpactgthegdialysisgtreatment
WhengagPCTgdocumentsgthegextentgofgagpatient'sgedema,gforgexamplegasg+3g-
gans-thegPCTgisgpreforminggangassessmentgwhichgisgnotgallowedglegally
Whengagpatientghasgangirregulargheartbeat,g-gans-
thegautomaticgBPgreadinggmaygnotgbegaccurate
Whichgofgthegfollowinggisgagdatagcollectiong-gans-HRg72
atgwhatgtimegshouldgthegpostgtreatmentgdatagcollectiongbegcompletedg-gans-
aftergthegtreatmentghasgbeengcompleted
thegAgingsmartgcommunicationgstandsgforg-gans-actual-gjustgreportgthegfacts
whichgofgthegfollowinggeventsgisgdefinedgasgagneargmissg-gans-
thegwronggdialyzergwasgsetgupgandgprimedgforgagpatient,gbutgitgwasgcaughtgbe
foregdialysisgwasginitiatedgandgthegdialyzergwasgreplaced
usinggtheg__________gapproachgisgonegwaygtogfillgoutgangREMg-gans-SBAR
Whatgisgyourgmaingprioritygwhengreturninggagpatient'sgbloodgwithgtheghandgcran
kgduringgagpowergoutage?g-gans-
yougmustgbegvigilantgingwatchinggforgairgingthegbloodglines
, whatgproblemgwillgcausegangincreasegingthegpatient'sgVPg-gans-
agclotgingthegvenousgdripgchamber
Whichgbloodgtestgmustgbegperformedgatgregulargintervalsgongpatientsgsusceptible
gtogHPBg-gans-HBsAg
whogisgaccountablegforgappropriategpatientgandgteammategschedulinggingthegacu
tegsettingg-gans-
yougaregdialyzinggagpatientgandgthegonlygavailablegHPBgsurveillancegtestgisgag
HBsAbgofg8.gWhatgaregthegmachinegdisinfectiongrequirementsgaftergdialyzinggthis
gpatient?g-gans-thegmachinegmustgbegheatgdisinfectedgatgthegendgofgeachgday
Whatgisgthegmostgcommongfactorgcontributinggtogbacteremiagingdialysisgpatients?
g-gans-usegofgcathetersgforgHD
whichginfectiousgdiseasegrequiresgfrequentghandgwashingginsteadgofgusinggalcoh
olgbasedghandggelsg-gans-activegclostridioidesgdifficileginfection
Whatgprecautionsgmustgbegusedgwhenghandlingglabgspecimens?g-gans-
universalgprecautions
waitinggonlygfivegsecondsgbetweengloweringgthegbloodgpumpgspeedgandgdrawing
gthegpostgtreatmentgbloodgsamplegcouldg-gans-
causegthegpostgtreatmentgBUNgreadinggtogbegfalselyglowg(waitg15gseconds)
whichgmaygcausegagdecreasegingtheghemoglobingofgagpatientgwithgESRDg-
gans-infection/inflammation
fluidgoverloadgandgHTNgleadgtogLVH,gthisgmeansg-gans-
hypotensivegepisodesgaregmoreglikelygtogoccurgduringgthegdialysisgtreatment
yourgrolegingCKD-MBDgmanagementgincludesg-gans-
remindinggthegpatientgwhogisgeatinggagsnackgduringgdialysisgtogtakeghisgphosph
ategbinder
yourgroleginganemiagmanagementgincludesg-gans-
rinsinggbackgasgmuchgofgthegpatient'sgbloodgasgyougcangatgthegterminationgofg
eachgtreatment
theglicensedgnurseghasgdelegatedgagspecificgtaskgtogagPCT,gbutgthegPCTggets
gcalledgawaygbeforegperforminggthisgtask.gCangthegPCTgasekganothergPCTgtogt
akegover?g-gans-no,gagtaskgdelegatedgbygtheglicensedgnursegtogagnon-
licencedgteammategcannotgbegre-delegatedgbygthisgteammate
AND ANSWERS
Whengdialyzinggagpatientgwithgacutegkidneyginjury,gonegtaskgofgthegpatientgcare
gteammatesgisgtogmonitorgbloodgpressuregandgweightgclosely.gWhygisgitgimporta
nt?g-gans-
hypovolemiagandghypotensivegepisodesgcangcausegrenalgischemiagandgcangfurth
ergdamagegthegkidneys
CKDgcanghavegitsgorgingpre-renalg,gintra-
renalmgorgpostgrenal.gWhichgofgthegfollowinggconditionsgisgangintra-
renalgcausegofgCKDg-gans-HTN
Knowinggwhatgcausedgyourgpatient'sgCKDg-gans-
isgimportantgbecausegthegunderlyinggdiseasegcouldgcauseghealthgcomplicationsgt
hatgcangimpactgthegdialysisgtreatment
WhengagPCTgdocumentsgthegextentgofgagpatient'sgedema,gforgexamplegasg+3g-
gans-thegPCTgisgpreforminggangassessmentgwhichgisgnotgallowedglegally
Whengagpatientghasgangirregulargheartbeat,g-gans-
thegautomaticgBPgreadinggmaygnotgbegaccurate
Whichgofgthegfollowinggisgagdatagcollectiong-gans-HRg72
atgwhatgtimegshouldgthegpostgtreatmentgdatagcollectiongbegcompletedg-gans-
aftergthegtreatmentghasgbeengcompleted
thegAgingsmartgcommunicationgstandsgforg-gans-actual-gjustgreportgthegfacts
whichgofgthegfollowinggeventsgisgdefinedgasgagneargmissg-gans-
thegwronggdialyzergwasgsetgupgandgprimedgforgagpatient,gbutgitgwasgcaughtgbe
foregdialysisgwasginitiatedgandgthegdialyzergwasgreplaced
usinggtheg__________gapproachgisgonegwaygtogfillgoutgangREMg-gans-SBAR
Whatgisgyourgmaingprioritygwhengreturninggagpatient'sgbloodgwithgtheghandgcran
kgduringgagpowergoutage?g-gans-
yougmustgbegvigilantgingwatchinggforgairgingthegbloodglines
, whatgproblemgwillgcausegangincreasegingthegpatient'sgVPg-gans-
agclotgingthegvenousgdripgchamber
Whichgbloodgtestgmustgbegperformedgatgregulargintervalsgongpatientsgsusceptible
gtogHPBg-gans-HBsAg
whogisgaccountablegforgappropriategpatientgandgteammategschedulinggingthegacu
tegsettingg-gans-
yougaregdialyzinggagpatientgandgthegonlygavailablegHPBgsurveillancegtestgisgag
HBsAbgofg8.gWhatgaregthegmachinegdisinfectiongrequirementsgaftergdialyzinggthis
gpatient?g-gans-thegmachinegmustgbegheatgdisinfectedgatgthegendgofgeachgday
Whatgisgthegmostgcommongfactorgcontributinggtogbacteremiagingdialysisgpatients?
g-gans-usegofgcathetersgforgHD
whichginfectiousgdiseasegrequiresgfrequentghandgwashingginsteadgofgusinggalcoh
olgbasedghandggelsg-gans-activegclostridioidesgdifficileginfection
Whatgprecautionsgmustgbegusedgwhenghandlingglabgspecimens?g-gans-
universalgprecautions
waitinggonlygfivegsecondsgbetweengloweringgthegbloodgpumpgspeedgandgdrawing
gthegpostgtreatmentgbloodgsamplegcouldg-gans-
causegthegpostgtreatmentgBUNgreadinggtogbegfalselyglowg(waitg15gseconds)
whichgmaygcausegagdecreasegingtheghemoglobingofgagpatientgwithgESRDg-
gans-infection/inflammation
fluidgoverloadgandgHTNgleadgtogLVH,gthisgmeansg-gans-
hypotensivegepisodesgaregmoreglikelygtogoccurgduringgthegdialysisgtreatment
yourgrolegingCKD-MBDgmanagementgincludesg-gans-
remindinggthegpatientgwhogisgeatinggagsnackgduringgdialysisgtogtakeghisgphosph
ategbinder
yourgroleginganemiagmanagementgincludesg-gans-
rinsinggbackgasgmuchgofgthegpatient'sgbloodgasgyougcangatgthegterminationgofg
eachgtreatment
theglicensedgnurseghasgdelegatedgagspecificgtaskgtogagPCT,gbutgthegPCTggets
gcalledgawaygbeforegperforminggthisgtask.gCangthegPCTgasekganothergPCTgtogt
akegover?g-gans-no,gagtaskgdelegatedgbygtheglicensedgnursegtogagnon-
licencedgteammategcannotgbegre-delegatedgbygthisgteammate
