Verified by Experts
When is a pre-treatment assessment by the licensed nurse required? For a CKD dialysis
patient: depends on state law, in PA within an hour of Tx. OR, if data collection has abnormal
findings.
For AKI patients, a pre-treatment assessment is always required.
Which statement is true regarding the "Reasonable and Prudent" standard of care?
A) The Standard of Care is based on providing highly specialized care after a caregiver is
certified
B) Caregivers who are doing it "their way" without regard to DaVita P&P can easily defend their
actions in the event of an adverse patient outcome
C) The Standard of Care only includes actions a nephrology nurse would do, but not those the
nurse would avoid doing
D) When supervising patient care technicians and other non-licensed personnel, it is the
responsibility of the licensed nurse to ensure these teammates also meet then Standard of Care
D) When supervising patient care technicians and other non-licensed personnel, it is the
responsibility of the licensed nurse to ensure these teammates also meet then Standard of Care.
, The nephrologist orders a BFR of 450 ml/min for a patient with an established AV Fistula. What
needle gauge would be appropriate for this BFR? 15 gauge
Needle gauges corresponding with BFR ranges: 17G=200-250 mL/min
16G=250-350 mL/min
15G=350-450 mL/min
14G=more than 450 mL/min
Needle gauges with corresponding arterial pressures: 17G: -150mmHg or less
16G: -200mmHg or less
15G: -220mmHg or less
14G: -260mmHg or less
What does the Urea Reduction Ratio (URR) calculate? URR measures adequacy of
dialysis by calculating ((U[pre]-U[post])/U[pre])*100. This represents change in amount of urea
in the blood with treatment, and should be above 65%.
Water and dialysate cultures are drawn every month in the dialysis unit to monitor:
bacteria and endotoxin presence.