Davita Final Exam Review Questions (Answered) Verified Solution 2022/2023

Davita Final Exam Review Questions (Answered) Verified Solution 2022/2023 Most important route in which pathogens are transmitted? Contact A person kidney failure Weakens their immune system The most common factor contributing bacterimia in dialysis patients? The use of catheters Fever Any temperature greater than 100 degrees Fahrenheit or 2 degrees above baseline with symptoms DDS ( dialysis disequilibrium syndrome) Caused by missed treatments Patients with AKI Keep them more wet than dry How to respond to surveyor when you don't know the answer. "I don't know the answer, but I will find out" Water hardness test End of the day Reponse to water alarm Put machine in bypass Run RO for 10 min will cause? False negative, suppose to be 15 min. Access rope latter Site heal in 2 weeks Why do we not flip arterial needle? Back eye on the needle Water check chlorine and chlorimine Causes hemolysis Sure seal Once bleeding has stopped remove, apply gauze, and tape or put bandaid Why do we have rule of 6's? For fistulas Whistling sound Outflow stenosis New access Advanced cannulator How to prevent aneurysms Rotate sites What happens if you don't follow P&P Patient can sue you Conductivity 13-15.5 +-0.4 pH 6.9-7.6 Why check pH? Check the acid base balance for acceptable range Surveyor If person don't check chlorine or chloromine immediate jeopardy can happen What can cause an increase in venous pressure Clotting in venous chamber How do you know "pain eze" is ready? Blanching of skin Heparin bolts wait time 5 min Heparin 28 days Binders should be taken With meals What are possible consequences of poor or incomplete documentation Open attack on care Health literacy Degree in which individuals understand their basic health information What makes dialysis patients more susceptible to HAI's Immunosuppressed, vulnerable to infections What are v-tags and why are they important State regulations to be met to state guidelines Why is wearing gloves important Reduce the risk of hand contamination and prevents the transfer of organisms on hands Mineral bone disease (MBD) Medications are sensipar, vitamin D, binders Osmosis Movement of fluid low to high concentration Diffusion Movement of particles of high to low concentration Aneurysm Found in fistulas Sudoaneurysms Are found in grafts (false) DARN Desire, ability, reason, need Primary cause of anemia Lack of epo Air embolism COLT- clamp line, off pump, left side, trendelenburg What does hypertension lead to? Left ventricular hypertrophy Three basic principles of self-management Dealing with consequences of illness, focusing on problem solving, decision making, and patient confidence, and placing patients and care providers in partnership with specific responsibilities Teach back method Having patients repeat back information that was provided to them BP reading cuff too small? High reading BP reading cuff too large? Low reading Temperature on machine Greater than 42 degrees can cause hemolysis Hypertension Pre dialysis should be less than 140/90 Post dialysis should be less than 130/80 Hypotension Systolic less than 90 Diastolic less than 60 Drop in systolic greater than 20 Pyrogens reaction Dead or dying bacteria do not return blood Dialysis restore how much kidney function 15% Four key elements affected in ckd-mbd? Calcium, PTH, phosphorus, calcitrol (vitamin D) Six items included administered medications? Allergies Time Route Amount Medications Patient How to document late entries? Notation "late entry" include date and time SMART communication stand for Simple Meaningful Actual Read Teach What are three things you should not include in an AOR? Personal opinions Speculations Vendettas What makes dialysis patients more susceptible to HAIs Immunosuppressed, vulnerable to infection