REAL PCT DAVITA FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

Which of the following statements is not an underlying assumption of self management - People with complex chronic kidney conditions such ass ESRD have more difficulties with successful self management Which of the following is a basic principle of self management - Dealing with the consequences of the illness rather than just the physical disease its self Andragogy takes into account - That adults desire to take responsibility for what they learn In order to detect problems as early as possible a thorough evaluation of a new fistula four to six weeks after creation should be considered mandatory - true Vessel mapping should be performed on all new patients when possible - true The goal of vascular mapping is to assure that every new patient receives a fistula if possible - true A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of the access vessel). - inflow The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%. - false 84-98% Venous stenosis is the most common cause of late fistula loss. - true Persistent swelling of the access arm and prolonged bleeding after needle withdrawal are signs of an inflow stenosis (inability for blood to enter the access) - true A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula. - true A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction. - true The most serious catheter related complication is infection - true 3 processes that make up the water treatment system - pre treatment, Water-purification, Distribution 3 roles of davitas pnp play - a standard of care best demonstrated practice prima facieevidence 4 ways to prevent contributing to excess blood loss - eveluate effectiveness of of heparin Rinse back blood till lines are pink Hold acess site forappropriate time Dont waste blood in redraws Acronym used when communicating - SMART Simple Meaningful Actual Read Teach Adequacy of dialysis is represented by - kt/v