Davita Final Exam Review
(WeBEx)Correct 100%
Renin and Erythropoietin secretion, activation of vitamins D: Are these Excretory or
Endocrine functions of the kidney? - ANSWER Endocrine
LVH leads to - ANSWER - Intradialytic hypotention
- Ischemic heart disease
- Arrhythmias
- Myocardial infarction
- Sudden death
Sepsis, trauma, anaphylaxis, drugs and AcuteGlomerulonephritis are examples of -
ANSWER Intra-renal causes of AKI
What are some causes of a more negative pre-pump Arterial Pressure? - ANSWER -
Clamped lines
- Kink in the arterial line between the vascular access and arterial
monitor
- Clot
- Increased Blood pump speed
- Needle placement
What dialysate flow pattern that increases the rate of diffusion? - ANSWER Counter-
Current Flow
What % is considered an excessive IDWG? - ANSWER Greater than 5% of the TW
Patients should be educated to make their phosphate binder when? - ANSWER Taken
with all meals and snacks
When is a Pre- Treatment Assessment Required? - ANSWER A pre-treatment
assessment MUST be completed by the nurse and documented PRIOR to treatment
initiation under these conditions:
- Abnormal findings on data collection
- State Regulation
- AKI patient
- Nurse is initiating treatment
In the absence of one of those situations the nurse has 1 Hours from the start of
treatment to complete and document the assessment
Clotting of high flux dialyzer will cause the TMP to - ANSWER Decrease
, What are the symptoms of an elevated potassium? - ANSWER Extreme muscle
weakness and an abnormal heart rhythm
What is albumin (protein) needed for - ANSWER - It's essentially for growth
- Health maintenance
- Preventing infection
- Wound healing
- Anemia Management
How far apart do the needles tips need to be placed? - ANSWER 1.5 inches
good needle site rotation and complete needle site clotting techniques prevent which 2
vascular access complications? - ANSWER Prevent for formation of aneurysm and
pseudoaneurysm
What are the 3 steps in complete access site evaluation? - ANSWER Look, listen and
feel
Look: for sign and infection
Listen: for bruit;swoosh
Feel: for thrill; temperature
Topical Anesthetic Spray - ANSWER - Spray after access site disinfection has been
completed
- Hold the 3-7" from access site
- Spray for 4-10 seconds, until the skin blanches. Do Not Frost the Skin
Why is it not necessary to the flip the arterial needle? - ANSWER The arterial needle
has a back eye and flipping needles unnecessarily can lead to damage of the access.
This cannulator has at least 6 months of AV access cannulation experience and at least
10 successful cannulations on established fistulae - ANSWER NFACT intermediate
cannulator
What is the required length of time to perform scrub the hub of a CVC? - ANSWER 15
seconds each
What is an intervention for muscle cramps - ANSWER - Turning the UF off
- stretching the affected muscle
What Complicatlon is the patient placed in left side trendelenburg position? - ANSWER
Hypotension
Hypotension & HypoHypovolemia are associated with an increased mortality rate -
ANSWER True
(WeBEx)Correct 100%
Renin and Erythropoietin secretion, activation of vitamins D: Are these Excretory or
Endocrine functions of the kidney? - ANSWER Endocrine
LVH leads to - ANSWER - Intradialytic hypotention
- Ischemic heart disease
- Arrhythmias
- Myocardial infarction
- Sudden death
Sepsis, trauma, anaphylaxis, drugs and AcuteGlomerulonephritis are examples of -
ANSWER Intra-renal causes of AKI
What are some causes of a more negative pre-pump Arterial Pressure? - ANSWER -
Clamped lines
- Kink in the arterial line between the vascular access and arterial
monitor
- Clot
- Increased Blood pump speed
- Needle placement
What dialysate flow pattern that increases the rate of diffusion? - ANSWER Counter-
Current Flow
What % is considered an excessive IDWG? - ANSWER Greater than 5% of the TW
Patients should be educated to make their phosphate binder when? - ANSWER Taken
with all meals and snacks
When is a Pre- Treatment Assessment Required? - ANSWER A pre-treatment
assessment MUST be completed by the nurse and documented PRIOR to treatment
initiation under these conditions:
- Abnormal findings on data collection
- State Regulation
- AKI patient
- Nurse is initiating treatment
In the absence of one of those situations the nurse has 1 Hours from the start of
treatment to complete and document the assessment
Clotting of high flux dialyzer will cause the TMP to - ANSWER Decrease
, What are the symptoms of an elevated potassium? - ANSWER Extreme muscle
weakness and an abnormal heart rhythm
What is albumin (protein) needed for - ANSWER - It's essentially for growth
- Health maintenance
- Preventing infection
- Wound healing
- Anemia Management
How far apart do the needles tips need to be placed? - ANSWER 1.5 inches
good needle site rotation and complete needle site clotting techniques prevent which 2
vascular access complications? - ANSWER Prevent for formation of aneurysm and
pseudoaneurysm
What are the 3 steps in complete access site evaluation? - ANSWER Look, listen and
feel
Look: for sign and infection
Listen: for bruit;swoosh
Feel: for thrill; temperature
Topical Anesthetic Spray - ANSWER - Spray after access site disinfection has been
completed
- Hold the 3-7" from access site
- Spray for 4-10 seconds, until the skin blanches. Do Not Frost the Skin
Why is it not necessary to the flip the arterial needle? - ANSWER The arterial needle
has a back eye and flipping needles unnecessarily can lead to damage of the access.
This cannulator has at least 6 months of AV access cannulation experience and at least
10 successful cannulations on established fistulae - ANSWER NFACT intermediate
cannulator
What is the required length of time to perform scrub the hub of a CVC? - ANSWER 15
seconds each
What is an intervention for muscle cramps - ANSWER - Turning the UF off
- stretching the affected muscle
What Complicatlon is the patient placed in left side trendelenburg position? - ANSWER
Hypotension
Hypotension & HypoHypovolemia are associated with an increased mortality rate -
ANSWER True
