DAVITA FINAL EXAM MODULE 3&4 QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS

What are the four meds pcts can administer per davita p&p? (module 3) - normal saline Heparin Lidocaine Topical anesthetic spray What are the 6 items included in documenting administered medications? (module 3) - time and date Route of administration Reason for giving Medication dosage Reason for administering Patient response At what time are medications containing a preservative discarded?(module 3) - 28 days (exept when manufacturer specifies differently ex epogen) What size needle with the appropriately sized syringe should be used when drawing up heparin? (module 3) - 21 g x 1 inch What is the time frame during which single use medication should ne prepared and administered?(module 3) - 4 hours (unless state specifies) How do you verify your needle is not in the access when administering lidocaine? (module 3) - aspiration of syringe plunger How do you administer topical anesthetic spray?(module 3) - wash arm Clean site per p&p Spray for 4-10 secs from a distance of 3-7 Dont frost the skin- numbing effect occurs with blanching Why would the nephrologist order a formulary exception of citrasate or citrapure dialysate concentrate? (module 3) - to use as part if anticoagulation during dialysis treatment when heparin is contraindicated Regarding multi-dose medication vials: (module 3) - labeling and expiration: and initials of opener and date Needle/syringe/ vial: the vial may be entered more than once but requires a new sterile syringe, avoid pooling of medication Regarding single dose vial(module 3) - must be used for only 1 pt Each vial should only be entered once and then discarded The same syringe may be used to enter up to two single use vials of the same medication What does tramp stand for? ( note there is often a 6th med one-documentation) (module 3) - time Route Amount Medication Patient What are two reasons for water treatment?(module 3) - patient safety To prevent equipment damage Aluminum in water used fir dialysis causes (module 3) - anemia Bone disease Nausea Vomiting Neurologic deterioration Chlorine in water used for hemodialysis causes (module 3) - hemolysis Excess calcium and sodium in water causes? (module 3) - hypertension Excess calcium and magnesium in water used for dialysis causes? (module 3) - muscle weakness What does ro remove? (module 3) - organic and inorganic materials Bacteria Endotoxins What are 2 concerns with using di tanks (module 3) - exhaust quickly When exhausted they dump previously removed ions back into the water Response to final water quality alarm (module 3) - bypass Notify charge nurse/ fa/ biomed/ medical director If not resolved, terminate water tx and complete rem Water/ dialysate cultures results (module 3) - acceptable level: below 50 cfu/ml Action level: 50-99 cfu/ml Unacceptable level: 100 cfu/ml Water endotoxin testing results (module 3) - acceptable level: below 0.12 eu/ml Action level: 0.12 to 0.25 eu/ml Unacceptable level 0.25 eu or Dialysate endotoxin testing result (module 3) - acceptable level: 0.25 eu/ml Action level: 0.25 to 0.50 eu/ml Unacceptable level: 0.50 eu/ml or How often are water and dialysate cultures drawn and monitored for bacteria and endotoxins? (module 3) - monthly What removes chlorine/chloromines (module 3) - carbon tanks Chlorine/chloramine testing (module 3) - when: prior to first treatment of the day and every 4 hours after