with Answers Correct!!
Ultrafiltration - ANSWERSFluid pushing through the semipermeable membrane (SPM)
Convection - ANSWERSSolutes dragged across SPM along with fluid
Diffusion - ANSWERSParticles moves from area of high concentration to low
Osmosis - ANSWERSFluid moves from are of low to high concentration
What are the kidneys' excretory functions? - ANSWERSBy using acid concentrate to
help normalize electrolytes and ultrafiltration to provide fluid balance
What are the kidneys' endocrine functions? - ANSWERSRenin secretion, Erythropoietin
secretion, Vitamin D activitation
How much normal kidney function is replaced by hemodialysis? - ANSWERS15%
Left Ventricular Hypertrophy leads to - ANSWERSIschemic Heart disease, Arrhythmia,
myocardial infarction, and sudden death
What are the four key elements contributing to CKD-Mineral Bone Disease (MBD)? -
ANSWERSCalcium, Phosphorus, PTH, Vitamin D (calcitriol)- All lead to CKD_MBD
when they are abnormal
Define the term for AKI - ANSWERSA wide spectrum of kidney issues including acute
kidney failure as well as catastrophic kidney function changes
Example of pre, intra, and post renal causes of AKI - ANSWERSPre- Obstruction
volume depletion, impaired cardiac function
Intra- ischemic ATN, sepsis, SIRS, Septic shock anaplylaxis drugs, Goodpasture
syndrome, acute glomerulonephritis, trauma, open heart surgery
Post- obstruction, oliguric, bladder rupture pregnancy
, AKI patients are at increased risk for which complications? - ANSWERSHypovolemia
and hypotension
What dialysis causes an increased risk for acquiring a HAI at the facility -
ANSWERSCVC vascular successes
Hand hygiene when caring for a patient with C-dif - ANSWERSHandwashing with soap
and water
How can you tell a 'clean' or 'dirty' sink apart? - ANSWERSa clean' ;or dirty sign"
HBV Classification tested monthly - ANSWERS-HBsAg- Hep B surface antigen for
susceptible and non-responders (monthly)
-Caring for HBsAg positive and Hep B surface antigen (monthly susceptible pts and non
responders)
The manual conductivity much match____on rhe Fresenius 2008Kand K2 delivery
system - ANSWERSSafe dialysate ph Range
What is "Reasonable and Prudent" care - ANSWERSThe standard of care which a
reasonable and prudent nephrology nurse would give under the same or similar
circumstances.
Example of data collection of the PCT - ANSWERSNoting pitting edema
What is the role of the licensed nurse prior to treatment initiation? - ANSWERSAssess
abnormal findings from data collection, determine appropriate interventions (based on
physician orders) and contact physician if needed
What is the role of the PCT prior to treatment initiation? - ANSWERSComplete data
collection and PCT must notify the RN if there are any abnormal findings prior to
initiation of tx
Must be documented after treatment is complete - ANSWERS-Documentation of
clearance of dialyzer after rinseback
-Blood pressure
-Heart rate
-Temperature
-Respiratory rate
-Weight (excessive greater than 5%)
What is the normal temperature? - ANSWERSLess than 100 degrees F or 37.8 degrees
C or less than 2 degrees F (1 degree C) of baseline (pre-treatment temp reading)
What are 3 things you should NOT include in a REM? - ANSWERSPersonal opinions,
Speculation and Vendettas