Annual Competency Exam 2023 Update

Annual Competency Exam 2023 Update a+ RN - Oversees and assess the patient and patient's treatment, direct interventions, provide patient education patient care technician - evaluates and reinforces nursing education urine flow - 2 kidney, 2 ureters, 1 bladder, 1 urethra functions of healthy kidney - remove toxins, creatinine regulates fluid balance, activate vitamin d, secrete erythropoietin, stimulates bone marrow to make RBC NEPHRON - THE FUNCTIONING UNIT OF A KIDNEY. IT FILTERS BLOOD TO FORM URINE. glomerulus - NETWORK OF CAPILLARIESTHAT PERFORMS THE FIRST STEP IN FILTERING BLOOD. IT FILTERS WATER AND SOLUTES BOWMAN'S CAPSULE. BOWMAN'S CAPSULE - IT EMPTIES FILTERED BLOOD INTO THE NEPHRONS ERYTHROPOIETIN - STIMUALTES THE BONE MARROW TO PRODUCE RBC RECOMBINANT EPOETIN (EPOGEN) (MICERA) - ARE DRUGS GIVEN TO TREAT ANEMIA CALCITRIOL - HELPS MAINTAIN GOOD BONE HEALTH BY HELPING ABSORB CACIUM AND FROM FOODS EATEN.VITAMIN D (SYNTHECTIC CALCITRIOL) - MEDICATIONS USED IN TREATING BONE DISEASE FOR HEMODIALYSIS PATIENTS.CALCIJEX,HECTOROL,ZEMPLAR SIGNS ANDM SYMPTOMS OF RENAL FAILURE - ANEMIA, NERVE DAMAGE, FLUID OVERLOAD, HYPERTENSION, NAUSEA, POTEINURIA, MENTAL STATUS OF CHANGE LOSS OF APPETITE, LETHARGY, RESTLESSNESS UREMIA - SET OF SYMPTOMS ASSOCIATED WITH THE BUILD UP OF UREA IN THE BLOOD WHAT ORGAN SYMPTOMS ARE AFFECTED? - RESPIRATORY, IMMUNE, NEUROLOGICAL, REPRODUCTIVE, CARDIOVASCULAR, GASTROINTESTINAL, HOW IS UREMIA TREATED? - DIALYSIS, DIFFUSION ALLOWS FOR UREMIC,TOXIN REMOVAL WHAT ARE THE SIGNS AND SYMPTOMS OF UREMIA - ITCHING, LOSS OF APPETITE, HIGH BLOD PRESSURE,YELLOW-GRAY SKIN TONE ,MENTAL STATUS CHANGE , IMMUNE SYSTEM CHANGE, WHAT IS UREMIA? - CAUSED BY IMPAIRED KIDNEY FUNCTION. BUILKD-UP HARMFUL WASTE PRODUCTS IN THE BLOODSTREAM STAGE 1 GFR ( GLOMERULAR FILTRATION RATE) - NORMAL KIDNEY FUNCTION BUT URINE OR OTHER ABNROMALITIES POINT TO KIDNEY DISEASE. RATE 90+ STAGE 2 GFR - MILDLY REDUCED KIDNEY FUNCTION, URINE OR OTHER ABNORMALITIES POINT TO KIDNEY DISEASE. 60-89 STAGE 3 GFR - MODERATELY REDUCED KIDNEY FUNCTION 30-59 STAGE 4 GFR - SEVERELY REDUCED KIDNEY FUNCTION 15-29 STAGE 5 GFR - VERY SEVERELY REDUCED KIDNEY FUNCTION (ALSO CALLED CHRONIC KIDNEY DISEASE) LESS THAN 15 WHAT CAUSES RENAL OSTEODYSTROPHY(BONE DISEASE) - INADEQUATE OR LACKING CALCITRIOL WHAT ARE THREE TREATMENT MODALITIES OF END STAGE RENAL DISEASE - HEMODIALYSIS. peritoneal dialysis and TRANSPLANTATION HOW LONG CAN A DIALYZER REDIRCULATE WITH SALINE BEFORE IT IS CONSIDERED UNSAFE TO USE? - AFTER 4HOURS DISCARD AFTER 2 HOURS X 5MINUTES WHY IS DEXTROSE ADDED TO DIALYSATE - TO PREVENT HYPOGLYCEMIA HOW DO YOU TEST FOR A SMALL BLOOD LEAK? - DIPPING A FMS APPROVED BLOOD LEAK TEST STRIP INTO DIALYSATE OBTAINED FROM THE OUTFLOW (ARTERIAL/RED) DIALYSATE PORT. SIGNS AND SYMPOTOMS OF VASCULAR ACSSESS INFECTION - CHILLS, FEVER, DRAINAGE, REDNESS, SWELLING, AND WARMTH AT THE SITE SITE ROTATION IS CALLED? - ROPE LADDER TECHNIQUE WHY IS IT IMPORTANT TO DETERMINE WHICH SIDE IS ARTERIAL AND WHICH IS VENOUS ? - CAN CAUSE RECIURCULATION AND PREVENT CLEARANCE TO DELIVER AN ADEQUATE TREATMENT WHAT INSERTION ANGLE SHOULD I USE FOR A-V GRAFT - 45 DEGREE ANGLE