Davita Exam Questions with 100% Correct Answers( Graded A+)

The patient position used for a suspected air embolism is... - Trendelenburg, on the left side When is a pre-treatment assessment by the licensed nurse required? - When it is mandated by state. When the PCT performing a data collection notices abnormal findings. When the patient reports unusual symptoms to the nurse prior to treatment initiation. When the nurse observes unusual behavior in a patient entering the treatment floor. The sign that numbing has taken effect and it is time to stop spraying topical anesthetic on the vascular access cannulation site is when... - You observe blanching of the skin Knowing what caused your patient's renal failure is - Is important to identify possible problems during data collection and assessment Per DeVita policy fever is defined as - any temperature greater than 100 or increase over baseline of 2° with symptoms Why is meticulous hand hygiene so important in healthcare? - It is the single most important intervention in preventing healthcare associated infection At what time do you perform water hardness testing - At the end of the treatment day The nephrologist has ordered the use of hemostatic sponges such as SueSeal for your patient what is the correct procedure when using the sponges - Remove the hemostatic sponge after hemostasis has been achieved and dress the needle sites with sterile gauze or Band-Aid What can most likely result if the surveyor sees a patient with a covered vascular access - An immediate jeopardy What will cause a more negativepre-pump arterial pressure - Kinking of the arterial blood line between the vascular access and arterial monitor V tags site deficiencies provide interpretive guidance and provide a condition that must be met for each regulation how can knowledge of V tags affect the practice of patient care providers - All of the above Which statement is true about sinks used for handwashing - Handwashing sinks must be dedicated for handwashing purposes only and should remain clean If you notice that a patient's caretaker is struggling to meet the demands of the patient's treatment regimen you should - Notify the social worker because he/she is there for patients and their families A patient's target weight is - Both a and B If clotting occurs in a high flux dialyzer the transmembrane pressure (TMP) - Decrease What must be completed prior to medication preparation - All of the above You listen to your patience graft and hear a whistling sound - You could be indicated of an inflow stenosis All documentation on machine and pre-treatment patient information must be - Entered into the computer before the treatment is initiated The patient is using a catheter for dialysis and has a new fistula present in his lower arm what observation/assessment should the PCT perform on the fistula - Checking for the bruit and thrill every treatment day For patients with acute kidney injury which statement is correct - A nursing assessment prior to treatment initiated is required The nephrologist has prescribed a 400 blood flow rate for your patient you would expect the physician order to also include - 15 gauge The patient's treatment time is three hours he has brought a 10 ounce cup of coffee has an IV antibiotic of 100 mL to be administered during treatment and prime rinse back of 400 mL the patient is 2.2 kg over there target weight what is the hourly UF removal go - 700 Scrubbing of each hub as part of CVC care is done for - 30 seconds The blood flow rate is reduced to 100 ml/min for _______ before obtaining post dialysis blood specimen for Kt/V - 15 seconds Per the CDC which is the most common factor contributing to bacterial infections in dialysis patients - The use of catheters for hemodialysis Which of the following factors will influence the "T" of the Kt/V formula - Shortened treatment time Per the CDC which is the most Important route by which pathogens are transmitted in healthcare settings including dialysis centers - contact transmission The psychosocial assessment completed by the social worker - Is completed initially and annually Which infectious disease requires frequent hand washing instead of using alcohol-based hand gel - active clostridium difficile infection ( C. DIFF ) Upon completing machine set up and before treatment initiation it is important to verify the prescription machine settings - Both B and C Poor wound healing is directly related to - In adequate protein intake A recommended intervention for muscle cramps is - Turning the UF are off Left ventricular hyper trophy leads to - Ischemic heart disease, arrhythmia, myocardial infarction, and sudden death What are three steps included in the vascular access assessment - Look listen feel What is the most likely reason for a blood leak detector alarm during recirculation - Air bubbles in dialysate or a dirty sensor In those states that do not require a nursing assessment to be completed prior to treatment initiation the PCT would be required to report abnormal patient data collection findings - To the nurse before the treatment initiation What is the acceptable mg/L Or parts per million limit for total chlorine in the water leaving the carbon filter - Greater than or equal to 1.0 ppm or mg//L Fever caused by pyrogenic reaction will most likely occur at what time during the treatment - Within 45 to 75 minutes