Final Exam Davita Questions and Answers 2022

what is the difference between data collection and assessment? who does what? - Correct answer-data collection:yes or no assessment: the extend. what is the role of pct prior to treatment initiation? - Correct answer-data collection notify nurse of any abnormalities what is the role of the licensed nurse prior to treatment initiation? - Correct answernurse assessment when us a pre-treatment assessment by the licensed nurse required? - Correct answerif vitals were abnormal when is post treatment assessment by the licensed nurse required? - Correct answerup normalities during treatment. note about bp - Correct answer-squeezing the auto blood pressure cuff to speed deflation can damage machine internal bp module. why do we document in the medical record? 4 reasons - Correct that care was rendered de data continuity ent legal record nication tool list 6 occurrences when to chart? - Correct e from baseline assessment e in patient condition dure for treatment ation given nt teaching plan review and intervention pre-treatment data collection/ assessment - Correct answer-before treatment intuition assessment within one hour if pt is stable for nurse post treatment data collection/assessment - Correct answer-post treatment only what are possible consequence of proof or incomplete documentation? - Correct answer-poor or incomplete documentation can open an attack on your care what are the 6 items included in charting administered - Correct ation dosage and time for administeration response ture of teammate adminsteration gies always check the allergy screen in screen in falcon for a list of your pt. how do you document charting errors - Correct answer-single line sign and date what does SMART communication stand for - Correct answer-Simple and clear Meaningful Actual Read Teach what are the 5 w's to be used when completing an AOR - Correct answer-what where who when why what are the four consequence of sodium loading during dialysis - Correct answer-.thirst intalle ;headaches +hypertenstion what treatment factors decreases K? - Correct answer-not waiting 3-5 minutes after giving Heprin what factors influence V? - Correct answer-on average a persons body composed of 50-55 % water. a person height weight sex,age and amputation are included in calculating V lab draw mistakes that would falsely increase kt/v? - Correct answer-not waiting 15 second when is post treatment blood sample draw too high? - Correct answer-waiting only 5 seconds between lowering the blood pump speed and drawing post treatment blood sample would cause the kt/v reading to be too high is it okay for pt to come off early on lab day? - Correct answer-If pt wants to get off early educate pt risk still draw lab and re-draw on full treatment (every time) what is important when monitoring weight and bp? - Correct answer-acute patient onlykeep pt wet and avoid hypotensive episodes. what do you need to consider in regards to their vascular access? - Correct answerfollow p and p to prevent infection why is it important to know what caused your patients CRF? - Correct answer-its important to know to help inquire about possible problem during data collection and assessment. what is the purpose of uf profilling? - Correct answer-purpose of uf profiling the way fluid removed during treatment allow time for vascular refilling what are consequence if patient is consistently fluid overloaded(hypervolemia)? - Correct answer-hypertension, left ventricular hypertrophy, cardiovascular disease what can cause hypovolemia ? - Correct answer-attempting to remove large amount of fluid weight for patient can lead to hypovolemia what are conductivity and ph alarm causes? - Correct answer-machine conductivity ad manual reading can be no greater or less then 0.4 difference. after test use phenix meter to: - Correct answer-measure ph in dialysate to verify acid base balance with acceptable range what are temperature alarm causes? - Correct answer-hemolysis occurs at 42 Celsius or higher. power appropriate intervention - Correct e venous line from air detector clamp before starting Hand cracked. delight watching for air venous pressure high alar causes - Correct answer-more positive cinck in tubing/clamp,infilteration,venous stenosis. clotting in venous drip chamber the reasonable and prudent standard of care for nephrology nursing: key concept - Correct answer-when supervising non license is the responsibility of the license nurse to ensure also teammate meet standard of care. what role does Davita p&P play? - Correct answer-policy is guide lines principle "the why" what are the risk of doing it your way ? - Correct answer-civil liability what makes dialysis patient more susceptible to HAIs? - Correct answer-weakened immune system prolong accès to pt blood why are dialysis pt at increased risk for acquiring a HAI at the facility? - Correct answercontact transmition wha tis the most common transmition route for HAIs? - Correct answer-contact transition what is the most important intervention you can do to prevent HAIs? - Correct answerhand hygiene wha tis the most common infectious complication in hemodialysis pt? - Correct lar access infection cdc the most common factor contributing to bacteriumia is use of cvc. what germ causes the most common infections in hemodialysis pt? - Correct answerMRSA MRSA can remain on service for days. being most favorable to survival why is wearing gloves important? - Correct answer-function of gloves decrease the risk of hand contamination. successful lab draws know the 20 tips - Correct answer-follow the order of draw to prevent specimens from being contaminated with other tube additive double labeling tubes prohibits processing what is rule of spinning samples? - Correct answer-balance, spin tubes of same kind size fill level and should be placed opposite of each other. what are signs and symptoms of hyperkalemia - Correct answer-high potassuim-muscle weakness, abnormal heart rate what are signs and symptoms of hypokalemia - Correct answer-low potassium-muscle cramp abnormal heart rate cold how can you prevent contributing to blood loss? - Correct te heparinzation giving heprin why are patients anemic ? - Correct answer-lack of (ego)erythropoietin what is pericarditis? what is included in its treatment ? - Correct answer-no heparin hold or decrease heparin peripheral neuropathy - Correct answer-check temperature of bathwater don't walk bare feet frequent foot check what are the 4 key elements affected in CKD-MBD? - Correct um horous hyroid hormone nt D what does the acronym DARN stand for? - Correct answer-desire ability reason need when should the communication style directing be used? - Correct answer-when training to perform procedure what are the 3 core communication skills to be used within the communication styles - Correct answer-asking, lisening,involving what is the best way to help pt successful change behavior? - Correct answer-the best way to help pt successfully change behavior is to inspire behavioral change through support, compassion and empathy. summarizing skill - Correct answer-includes main aspect of what the pt said during the entire communication writing reflex - Correct answer-in automatic intervention of health care practitioner who absorbs a pt doing something detrimental reflex. is there an order to work through the 5 stages of grief? - Correct answer-NO what is KDQOL 36? - Correct answer-kidney disease quality of care of life it is an assessment tool used for social workers to identify barriers what is KDQOL used for? - Correct answer-social worker complies result and develops goals with the pt are social workers available to caregiver? - Correct answer-social worker available for caregivers strangling to meet demands of pt treatment regiment 4 transport machisms that play role in hemodialysis - Correct filteration ction stion is what is ultrafilteration? - Correct answer-controlled fluid removed by es fluid only