Davita Final Exam Completely Solved
Your patient complaints of dry itchy skin. You would advise her to - ANSWER Use
hyper-fatted soaps and lotions
If a patient presents with dialysis associated pericarditis, treatment ordered by the
physician will likely include more frequent dialysis and - ANSWER Heparin restriction to
prevent bleeding into the pericardium and tamponade
What does Chronic Kidney Disease- Mineral and Bone Disorder (CKD-MBD) lead to? -
ANSWER Abnormalities in Ca, PO4, PTH, and Vitamin D metabolism with soft tissue
calcification and bone disease
The nurse's and PC's role in anemia management includes - ANSWER Evaluate the
effectiveness of heparin such as bleeding or clotting
Left Ventricular Hypertrophy leads to - ANSWER Ischemic heart disease, arrhythmia,
myocardial infarction, and sudden death
A patient with hyperkalemia will present with - ANSWER Extreme muscle weakness and
an abnormal heart rhythm
The Psychosocial Assessment completed by the social worker: - ANSWER Is
completed initially and annually
Which statement is true regarding the stages of grief? - ANSWER Some people can get
stuck in a stage
Infection and inflammation are factors causing - ANSWER Hypoalbuminemia
Osmosis is defined as - ANSWER Fluid moves from an area of lower solute
concentration to an area of higher solute concentration
Ultrafiltration is defined as - ANSWER Controlled fluid removal by manipulation of
hydrostatic pressure
The excretor function of the kidnevs include - ANSWER Fluid balance, electrolyte
balance, waste removal, and acid base balance
The endocrine functions of the kidneys are - ANSWER Renin and erythropoietin
secretion, activation of vitamin D
Acid concentrate replaces the excretory function of normal kidney function by -
ANSWER Reducing metabolic acidosis
, Hemodialvsis helps normalize body pH through - ANSWER Diffusion of bicarbonate
from the dialvsate into the blood
Diffusion is defined as - ANSWER Particles move from an area of higher solute
concentration to an area of lower solute concentration
The waiting time after administration of the initial heparin loading dose prior to initiation
of hemodialysis is - ANSWER 3-5 minutes
This medication stimulates bone marrow to produce red blood cells - ANSWER Epogen
Phosphate binders should be taken with meals because - ANSWER It binds to the
phosphorus in the food
Which of the following factors would influence the 't' of the KtV formula? - ANSWER
Shortened treatment time
Waiting only 5 seconds between lowering the blood pump speed and drawing the post
treatment blood sample would - ANSWER Cause the Kt/V reading to be falsely high
Dialysis replaces _____ of normal kidney function - ANSWER 15%
Which of the following factors would influence the 'V' of the Kt/V formula? - ANSWER
Amputation factor
Adequacy in dialysis means - ANSWER The patient is receiving enough dialysis to
reduce systemic effects of uremia and improve quality of life
The nephrologist orders a BFR of 300 for a patient with a two month old AV Fistula.
What needle gauge would be appropriate for this BFR? - ANSWER 16 gauge
An optimal nutrition status is evidenced by - ANSWER A stable, desirable target weight,
adequate fat stores and muscle mass, appropriate appetite and intake, and a serum
albumin of equal to or greater than 4 gm/dI
Poor wound healing is directly related to - ANSWER Inadequate protein intake
Your patient pulls out her snack dung dialysis. As she savors the first bite of her banana
she smiles and tells you she always waits to eat food high in potassium during dialysis
so it won't harm her. What is your appropriate response? - ANSWER You exolain to the
patient that the potassium in food eaten during dialysis is not dialyzed oft
Renal vitamins are - ANSWER Removed during dialysis treatment
Your patient complaints of dry itchy skin. You would advise her to - ANSWER Use
hyper-fatted soaps and lotions
If a patient presents with dialysis associated pericarditis, treatment ordered by the
physician will likely include more frequent dialysis and - ANSWER Heparin restriction to
prevent bleeding into the pericardium and tamponade
What does Chronic Kidney Disease- Mineral and Bone Disorder (CKD-MBD) lead to? -
ANSWER Abnormalities in Ca, PO4, PTH, and Vitamin D metabolism with soft tissue
calcification and bone disease
The nurse's and PC's role in anemia management includes - ANSWER Evaluate the
effectiveness of heparin such as bleeding or clotting
Left Ventricular Hypertrophy leads to - ANSWER Ischemic heart disease, arrhythmia,
myocardial infarction, and sudden death
A patient with hyperkalemia will present with - ANSWER Extreme muscle weakness and
an abnormal heart rhythm
The Psychosocial Assessment completed by the social worker: - ANSWER Is
completed initially and annually
Which statement is true regarding the stages of grief? - ANSWER Some people can get
stuck in a stage
Infection and inflammation are factors causing - ANSWER Hypoalbuminemia
Osmosis is defined as - ANSWER Fluid moves from an area of lower solute
concentration to an area of higher solute concentration
Ultrafiltration is defined as - ANSWER Controlled fluid removal by manipulation of
hydrostatic pressure
The excretor function of the kidnevs include - ANSWER Fluid balance, electrolyte
balance, waste removal, and acid base balance
The endocrine functions of the kidneys are - ANSWER Renin and erythropoietin
secretion, activation of vitamin D
Acid concentrate replaces the excretory function of normal kidney function by -
ANSWER Reducing metabolic acidosis
, Hemodialvsis helps normalize body pH through - ANSWER Diffusion of bicarbonate
from the dialvsate into the blood
Diffusion is defined as - ANSWER Particles move from an area of higher solute
concentration to an area of lower solute concentration
The waiting time after administration of the initial heparin loading dose prior to initiation
of hemodialysis is - ANSWER 3-5 minutes
This medication stimulates bone marrow to produce red blood cells - ANSWER Epogen
Phosphate binders should be taken with meals because - ANSWER It binds to the
phosphorus in the food
Which of the following factors would influence the 't' of the KtV formula? - ANSWER
Shortened treatment time
Waiting only 5 seconds between lowering the blood pump speed and drawing the post
treatment blood sample would - ANSWER Cause the Kt/V reading to be falsely high
Dialysis replaces _____ of normal kidney function - ANSWER 15%
Which of the following factors would influence the 'V' of the Kt/V formula? - ANSWER
Amputation factor
Adequacy in dialysis means - ANSWER The patient is receiving enough dialysis to
reduce systemic effects of uremia and improve quality of life
The nephrologist orders a BFR of 300 for a patient with a two month old AV Fistula.
What needle gauge would be appropriate for this BFR? - ANSWER 16 gauge
An optimal nutrition status is evidenced by - ANSWER A stable, desirable target weight,
adequate fat stores and muscle mass, appropriate appetite and intake, and a serum
albumin of equal to or greater than 4 gm/dI
Poor wound healing is directly related to - ANSWER Inadequate protein intake
Your patient pulls out her snack dung dialysis. As she savors the first bite of her banana
she smiles and tells you she always waits to eat food high in potassium during dialysis
so it won't harm her. What is your appropriate response? - ANSWER You exolain to the
patient that the potassium in food eaten during dialysis is not dialyzed oft
Renal vitamins are - ANSWER Removed during dialysis treatment
