DAVITA EXAM VERIFIED QUESTIONS AND
SOLUTIONS
◉ What are the symptoms of CKD-MBD in addition to bone disease.
Answer: Soft tissue calcification, itching, muscle weakness,
pathological fractures, tendon ruptures, compression of vertebrae,
atherosclerosis, heart disease
◉ What is your role in CKD-MBD management.
Answer: *report symptoms * urge patients to take meds (home &
treatment)
*report noncompliance problems related to nonadherence
◉ Define the term AKI.
Answer: - Term incorporates a wide spectrum of kidney issues
- Includes acute kidney failure as well as less catastrophic kidney
function changes
- May dialyze in an out-patient facility until kidney function recovers
◉ Give 3 examples of pre-, intra- and post-renal causes of AKI.
,Answer: Pre: Obstruction, volume depletion, impaired cardiac
function.
Intra: ischemic ATN, sepsis, SIRS, septic shock, anaphylaxis drugs,
Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, open
heart surgery.
Post: Obstruction, Oliguric, bladder rupture, pregnancy.
◉ Explain the difference between AKI and CKD.
Answer: Eliminating the cause of the AKI can often lead to the return
of kidney function. You
cannot eliminate the cause of CKD which is HTN, Diabetes, genetic
disorders (PKD)
◉ Outline the treatment goals for a patient with AKI dialyzing in the
out-patient facility.
Answer: - Find cause of AKI to restore function
- Careful to avoid catheter related infections
- Avoid substances to the kidney which may be toxic (NSAIDS,
radiographic contrasts, etc.
◉ What do you need to consider in regards to their vascular access.
Answer: Patients will typically have a dialysis catheter, be careful to
avoid catheter related infections
, ◉ How do you protect kidneys from further injury.
Answer: Avoid substances to the kidney which may be toxic
(radiographic contrast, amphotericin
B, low dose aspirin, NSAIDS)
◉ What is important when monitoring weight and BP.
Answer: keep a little extra fluid on them so it is available to the
kidneys when they start filtering/ultra-filtrating on their own
◉ AKI patients are at increased risk for which complications.
Answer: hypovolemia and hypotension
◉ What is the difference between OSHA and CMS infection control
requirements.
Answer: OSHA: Requires employers to provide workers with a safe
workplace
CMS: Concerned with patient care and patient safety
◉ What are V-tags and why are they important.
Answer: They state specific regulations to be met within a condition
such as infection control, providing interpretive guidance for each
regulation and citing deficiencies by tag #
SOLUTIONS
◉ What are the symptoms of CKD-MBD in addition to bone disease.
Answer: Soft tissue calcification, itching, muscle weakness,
pathological fractures, tendon ruptures, compression of vertebrae,
atherosclerosis, heart disease
◉ What is your role in CKD-MBD management.
Answer: *report symptoms * urge patients to take meds (home &
treatment)
*report noncompliance problems related to nonadherence
◉ Define the term AKI.
Answer: - Term incorporates a wide spectrum of kidney issues
- Includes acute kidney failure as well as less catastrophic kidney
function changes
- May dialyze in an out-patient facility until kidney function recovers
◉ Give 3 examples of pre-, intra- and post-renal causes of AKI.
,Answer: Pre: Obstruction, volume depletion, impaired cardiac
function.
Intra: ischemic ATN, sepsis, SIRS, septic shock, anaphylaxis drugs,
Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, open
heart surgery.
Post: Obstruction, Oliguric, bladder rupture, pregnancy.
◉ Explain the difference between AKI and CKD.
Answer: Eliminating the cause of the AKI can often lead to the return
of kidney function. You
cannot eliminate the cause of CKD which is HTN, Diabetes, genetic
disorders (PKD)
◉ Outline the treatment goals for a patient with AKI dialyzing in the
out-patient facility.
Answer: - Find cause of AKI to restore function
- Careful to avoid catheter related infections
- Avoid substances to the kidney which may be toxic (NSAIDS,
radiographic contrasts, etc.
◉ What do you need to consider in regards to their vascular access.
Answer: Patients will typically have a dialysis catheter, be careful to
avoid catheter related infections
, ◉ How do you protect kidneys from further injury.
Answer: Avoid substances to the kidney which may be toxic
(radiographic contrast, amphotericin
B, low dose aspirin, NSAIDS)
◉ What is important when monitoring weight and BP.
Answer: keep a little extra fluid on them so it is available to the
kidneys when they start filtering/ultra-filtrating on their own
◉ AKI patients are at increased risk for which complications.
Answer: hypovolemia and hypotension
◉ What is the difference between OSHA and CMS infection control
requirements.
Answer: OSHA: Requires employers to provide workers with a safe
workplace
CMS: Concerned with patient care and patient safety
◉ What are V-tags and why are they important.
Answer: They state specific regulations to be met within a condition
such as infection control, providing interpretive guidance for each
regulation and citing deficiencies by tag #
