DaVita RISE Module Questions &
Answers(GRADED A)
Most adults with a healthy immune system recover completely from hep B while the
majority of dialysis patients with HBV develop chronic liver disease - ANSWER True
A false-positive HBsAg reading may occur when the patient's blood sample is drawn
shortly after the hep B vaccine is given - ANSWER True
Policy states that hemodialysis patients with a possible vaccine-induced false-positive
HBsAg reading are to dialyze in either an isolation room or area. - ANSWER false
HBV-susceptible patients are to be tested every 60 days for hep B surface antigens -
ANSWER false
Hepatitis B surface-antibody protected patients are to be tested annually for antibodies
(HbsAb) - ANSWER true
if the HBsAb titer of a previously vaccinated patient decreases from at or above 10
ml/u/ml to less than 10, policy states this patient should receive - ANSWER a booster
with follow up HBsAb testing
Monthly HBsAg testing is required - ANSWER whenever the total core antibody is
positive regardless of surface antibody status (unless the patient is in isolation)
whenever surface antibodies are < 10 in patients who are hep B surface antigen
negative
Patients should be removed from isolation - ANSWER only in consultation with the
infection preventionist
Reactivation of hep B can occur in patients - ANSWER with HIV or who are transplant
recipients
receiving antiviral or immunosuppressive therapies
with declining HBsAb < 10
HBsAg positive patients receiving antiviral therapy who lose HBsAg positive status
(become HBsAg negative) should remain in isolation due to the following - ANSWER
risk of reactivation
isolation does not pose a risk of hep B reinfection as these patients are immune to
reinfection
Colonization occurs when microorganisms take up residence either in or on the body
and signs of an infection are present - ANSWER true
, hands are the most common cause of cross-contamination in health care settings -
ANSWER true
alcohol-based hand rub technique may be substituted for hand washing if hands are not
visibly contaminated - ANSWER true
your role in anemia management includes - ANSWER rinsing back as much of the
patients blood as you can at the termination of each treatment
if a patient with AKI dialyses in the outpatient facility, one task of the pct is to monitor
blood pressure and weight closely. why is this important? - ANSWER hypovolemia and
hypotensive episodes can cause renal ischemia and can further damage the kidneys
CKD can have its origin pre-renal, intra-renal, or post-renal. which of the following is an
intra-renal cause of CKD? - ANSWER hypertension
knowing what causes you patients CKD is - ANSWER important because the underlying
disease could cause health complications that can impact the dialysis treatment
AKI stands for acute kidney inflammation - ANSWER false
the term AKI incorporates a wider spectrum of kidney issues than does the term ARF -
ANSWER true
studies have shown that approx 30% of persons diagnosed with AKI remain nonoliguric-
have normal urine output - ANSWER false
the combination of AKI and CKD lead to an increased risk of developing chronic kidney
failure - ANSWER true
studies show that around 10% of patients admitted to the ICU will experience some
degree of AKI - ANSWER false
gastrointestinal bleeding is seen in up to 25% of AKI cases - ANSWER true
low dose aspirin is an example of a medication that may be nephrotoxic - ANSWER true
which of the following statements is correct when documenting in the patients medical
record? - ANSWER chart what you do, others need to chart what they do
what three symptoms would alert you that a patients target weight may have to be
increased? - ANSWER excessive cramping, hypotension, dizziness
what symptoms would alert you that a patients target weight may have to be
decreased? - ANSWER hypertension, peripheral edema, congestion in lungs
Answers(GRADED A)
Most adults with a healthy immune system recover completely from hep B while the
majority of dialysis patients with HBV develop chronic liver disease - ANSWER True
A false-positive HBsAg reading may occur when the patient's blood sample is drawn
shortly after the hep B vaccine is given - ANSWER True
Policy states that hemodialysis patients with a possible vaccine-induced false-positive
HBsAg reading are to dialyze in either an isolation room or area. - ANSWER false
HBV-susceptible patients are to be tested every 60 days for hep B surface antigens -
ANSWER false
Hepatitis B surface-antibody protected patients are to be tested annually for antibodies
(HbsAb) - ANSWER true
if the HBsAb titer of a previously vaccinated patient decreases from at or above 10
ml/u/ml to less than 10, policy states this patient should receive - ANSWER a booster
with follow up HBsAb testing
Monthly HBsAg testing is required - ANSWER whenever the total core antibody is
positive regardless of surface antibody status (unless the patient is in isolation)
whenever surface antibodies are < 10 in patients who are hep B surface antigen
negative
Patients should be removed from isolation - ANSWER only in consultation with the
infection preventionist
Reactivation of hep B can occur in patients - ANSWER with HIV or who are transplant
recipients
receiving antiviral or immunosuppressive therapies
with declining HBsAb < 10
HBsAg positive patients receiving antiviral therapy who lose HBsAg positive status
(become HBsAg negative) should remain in isolation due to the following - ANSWER
risk of reactivation
isolation does not pose a risk of hep B reinfection as these patients are immune to
reinfection
Colonization occurs when microorganisms take up residence either in or on the body
and signs of an infection are present - ANSWER true
, hands are the most common cause of cross-contamination in health care settings -
ANSWER true
alcohol-based hand rub technique may be substituted for hand washing if hands are not
visibly contaminated - ANSWER true
your role in anemia management includes - ANSWER rinsing back as much of the
patients blood as you can at the termination of each treatment
if a patient with AKI dialyses in the outpatient facility, one task of the pct is to monitor
blood pressure and weight closely. why is this important? - ANSWER hypovolemia and
hypotensive episodes can cause renal ischemia and can further damage the kidneys
CKD can have its origin pre-renal, intra-renal, or post-renal. which of the following is an
intra-renal cause of CKD? - ANSWER hypertension
knowing what causes you patients CKD is - ANSWER important because the underlying
disease could cause health complications that can impact the dialysis treatment
AKI stands for acute kidney inflammation - ANSWER false
the term AKI incorporates a wider spectrum of kidney issues than does the term ARF -
ANSWER true
studies have shown that approx 30% of persons diagnosed with AKI remain nonoliguric-
have normal urine output - ANSWER false
the combination of AKI and CKD lead to an increased risk of developing chronic kidney
failure - ANSWER true
studies show that around 10% of patients admitted to the ICU will experience some
degree of AKI - ANSWER false
gastrointestinal bleeding is seen in up to 25% of AKI cases - ANSWER true
low dose aspirin is an example of a medication that may be nephrotoxic - ANSWER true
which of the following statements is correct when documenting in the patients medical
record? - ANSWER chart what you do, others need to chart what they do
what three symptoms would alert you that a patients target weight may have to be
increased? - ANSWER excessive cramping, hypotension, dizziness
what symptoms would alert you that a patients target weight may have to be
decreased? - ANSWER hypertension, peripheral edema, congestion in lungs
