Final Version of Davita test Exam Questions And Answers with Complete Solutions

Final Version of Davita test Exam Questions And Answers with Complete Solutions what treatment factors decrease K in the Kt/v to decrease? - answernot waiting 3-5 minutes after heparin, decreasing BFR, DFR, and BVP what factors influence "V" in Kt/v - answeraccurate data entry by nurses in snappy, sex age, weight, and amputation what are the needle gauges and prescribed blood flow rates? - answerthey are inversely related 17g 200-250 15g 250-350 15g 350-400 14 g 400 - 450 what is the procedure for post BUN lab draw? - answerif pt wants off early, still draw the labs and educate patient about the risks. Redraw next time a pt runs full tx to show pt difference what lab draw mistakes would falsely increase Kt/V - answernot waiting the full 15 seconds What is important when monitoring weight and BP in AKI patients? - answerkeep patients wet (hydrated) and avoid hypotensive episodes = cause renal ischemia What do you need to consider in regards to CVCs? - answerfollow P&P b/c the risk of infection is so high Why is it important to know what caused a patients chronic renal failure? - answerwe need to know about possible problems during data collection and assessment What is the role of the PCT prior to tx initiation? - answerassessment of pt if any abnormal findings or if the pt is in an acute condition what happens in the BP cuff is the wrong size - answerloose BP--> high reading tight BP --> low reading why is it so bad to squeeze the BP cuff if its connected to the machine? - answerit can damage the internal BP mechanism Why is it so important that we document in the medical record? - answerit provides data for continuity and planning of care when do pre-treatment data collection and assessment take place? - answercollection: before tx assessment: w/in 1 hr if pt is stable when is post-treatment data collection and assessment performed? - answerpost treatment-- not before treatment or when they are disconnected what are the consequences of poor or incomplete documentation - answercan open attack on your care What are the six items needed in charting meds? - answer1. med/dosage 2. date/time 3. route 4. reason (remember this!) 5. pt response 6. signature What are the 5 Ws to be used when completing an AOR? - answerwho what when where why how What are the 4 consequences of sodium loading during dialysis? - answer1. increased thirst 2. increased fluid intake 3. increased intradialytic weight gain = htn 4. increased UFR what is the purpose of UF profiling? - answerchange the way fluid is remodeled during the tx and allows for vascular refilling what are the consequences of hypovolemia during tx? - answerattempting to remove a lot of fluid --> hypovolemia during tx --> loss of renal fun