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Davita Nurse Study Guide 2023 Questions with Answers Correct!!

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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

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Davita Nurse Study Guide 2023 Questions
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

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