DAVITA QUESTIONS WITH CORRECT AND COMPLETE ANSWERS GRADED A+

What complication would you expect to see if a patient is exposed to chlorine/chloramines? - Hemolysis You are performing the first chlorine/chloramine testing of the day after the RO has been running for 10 minutes. Performing thetest at this time - Could result in a false negative test At what time do you perform water hardness testing? - At the end of each treatment day What is your immediate response to a final water quality alarm on the treatment floor? - Place all machines into bypass Benifits of peritoneal dialysis and home hemodialysis? - Home based Flexible schedule Fewer diatary restrictions The two types of peritoneal dialysis are - CAPD and CCPD Procedure when useing hemostatic sponges such as sureseal? - Remove the hemostatic sponge after hemostasis has been acheived and dress needle site w bandaid or gauze - Two weeks Why should a pt be in a comfortable supine position when performing Pre dialysis CVC care? - The supine position increases pressure with in central veins and diminishes the risk of an air embolism Flipping the arterial vascular access needle - Is not necessary since all arterial needles now have a back eye A new AVF has received his post op exam and meets kdoqis rule of 6s which NFACT cannulator would the AVF - Advanced cannulater AV graft and hear whistling sound could be indicative of - An outflow stenosis KDOQI rule of 6s - Provides guidelines for use of new AV fistula To prevent the formation of aneurysms in pseudo aneurysm the following should be practice - Good needle site rotation in complete needle site clotting techniques During cannulation of all AV fistula's - A tourniquet is to be applied to increase vein engorgement and stabilize vessel What is an important action prior to returning a patient's blood using the hand crank in the event of a power failure - Remove the venous line from the line clamp What problems will cause a more negative (high-pressure alarm) pre-pump arterial pressure - Kinking of the arterial blood line between the vascular access in the arterial monitor What problems will cause an increase in venous pressure - Clotting of the Venus drip chamber Which statement is true regarding the "reason of prudent" standard of care - When supervising patient care technicians and other non-licensed personnel it is the responsibility of the license nurse to ensure these teammates also meet the standard of care Performing a procedure "your way" rather than following to davitas policy and procedures - Can lead to civil liability in the event of an adverse patient outcome A surveyor ask you a question which of the following statements would be a good answer? - I do not know the answer but I will find out A surveyor discovers that the chlorine checks have not been done correctly what kind of deficiency would the surveyor give the facility? - Immediate jeopardy When comparing the dialysis machines conductivity reading to your manual reading policy states that the difference between these two readings is to be - No greater than +/- 0.4 Why do we measure the ph of the dialysis solution? - To verify it's acid base balance is within the acceptable range What complication occurs if blood is exposed to dialysate that is too hot? - Hemolysis The waiting time after administration of the initial heparin loading dose prior to initiation of hemodialysis is - 3-5 mins