davita final exam questions and answers

what is the difference between data collection and assessment? who does what? - Answer data collection:yes or no assessment: the extend. what is the role of pct prior to treatment initiation? - Answer data collection notify nurse of any abnormalities what is the role of the licensed nurse prior to treatment initiation? - Answer nurse assessment when us a pre-treatment assessment by the licensed nurse required? - Answer if vitals were abnormal when is post treatment assessment by the licensed nurse required? - Answer up normalities during treatment. note about bp - 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 - Answer that care was rendered de data continuity ent legal record nication tool list 6 occurrences when to chart? - Answer e from baseline assessment e in patient condition dure for treatment ation given nt teaching plan review and intervention pre-treatment data collection/ assessment - Answer before treatment intuition assessment within one hour if pt is stable for nurse post treatment data collection/assessment - Answer post treatment only what are possible consequence of proof or incomplete documentation? - Answer poor or incomplete documentation can open an attack on your care what are the 6 items included in charting administered - Answer 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 - Answer single line sign and date what does SMART communication stand for - Answer Simple and clear Meaningful Actual Read Teach what are the 5 w's to be used when completing an AOR - Answer what where who when why what are the four consequence of sodium loading during dialysis - Answer .thirst intalle ;headaches +hypertenstion what treatment factors decreases K? - Answer not waiting 3-5 minutes after giving Heprin what factors influence V? - 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? - Answer not waiting 15 second when is post treatment blood sample draw too high? - 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? - 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? - Answer acute patient only-keep pt wet and avoid hypotensive episodes. what do you need to consider in regards to their vascular access? - Answer follow p and p to prevent infection why is it important to know what caused your patients CRF? - Answer its important to know to help inquire about possible problem during data collection and assessment. what is the purpose of uf profilling? - 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)? - Answer hypertension, left ventricular hypertrophy, cardiovascular disease what can cause hypovolemia ? - Answer attempting to remove large amount of fluid weight for patient can lead to hypovolemia what are conductivity and ph alarm causes? - Answer machine conductivity ad manual reading can be no greater or less then 0.4 difference. after test use phenix meter to: - Answer measure ph in dialysate to verify acid base balance with acceptable range what are temperature alarm causes? - Answer hemolysis occurs at 42 Celsius or higher. power appropriate intervention - Answer e venous line from air detector clamp before starting Hand cracked. delight watching for air venous pressure high alar causes - 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 - 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? - Answer policy is guide lines principle "the why" what are the risk of doing it your way ? - Answer civil liability what makes dialysis patient more susceptible to HAIs? - Answer weakened immune system prolong accès to pt blood why are dialysis pt at increased risk for acquiring a HAI at the facility? - Answer contact transmition wha tis the most common transmition route for HAIs? - Answer contact transition what is the most important intervention you can do to prevent HAIs? - Answer hand hygiene wha tis the most common infectious complication in hemodialysis pt? - Answer 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? - Answer MRSA MRSA can remain on service for days. being most favorable to survival why is wearing gloves important? - Answer function of gloves decrease the risk of hand contamination. successful lab draws know the 20 tips - 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? - 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 - Answer high potassuim-muscle weakness, abnormal heart rate what are signs and symptoms of hypokalemia - Answer low potassium-muscle cramp abnormal heart rate cold how can you prevent contributing to blood loss? - Answer te heparinzation giving heprin