DAVITA MODULE 4 QUESTIONS WITH CORRECT ANSWERS

DAVITAMODULE4QUESTIONSWITH b b b b




CORRECT ANSWERS 2025 b b b




The 4 indicators of nutrition status - CORRECT ANSWER -1) Albumin >/= 4.0 (protein)
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2) Stable, desirable target weight b b b




3) Adequate fat stores and muscle mass b b b b b




4) Appropriate appetite and intake b b b




Importance of protein - CORRECT ANSWER - b b b b b b




Protein is essential for growth, maintenance, preventing infection and anemia. It is important fo r
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wound healing and repair. The dietitian will guide the patient in choosing foods that will meet their
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protein needs.
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Importance of sodium and negative effects of sodium loading: - CORRECT ANSWER -
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Sodium is an essential mineral and helps regulate fluid volume, balance, and blood pressure. Exc ess
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sodium intake increases thirst and can result in increased fluid intake. In healthy individuals, the
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fluid in/fluid out balance is regulated by the healthy kidneys. In our dialysis patients who ma ke less
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or no urine, taking in too much sodium is a problem. Therefore, sodium intake is carefull y
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monitored in the dialysis patient. Sodium loading contributes to sodium related thirst and caus es
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increased fluid gain between dialysis sessions.
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Signs and symptoms of fluid excess: - CORRECT ANSWER -
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edema/swelling in the ankles, puffiness in the face, and shortness of breath as well as fatigue/di fficulty
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walking.
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Importance of limitingBpotassium - CORRECT ANSWER - b b b b b b




Potassium overload can cause sudden death due to cardiac arrest.
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Importance of limitingBphosphorous - CORRECT ANSWER - b b b b b b




when to take binders: Hyperphosphatemia causes itching, bone damage and calcification of the heart,
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lungs, and blood vessels. Take binders with meals.
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, Importance of keeping calcium within normal values - CORRECT ANSWER - b b b b b b b b b b




Too much calcium increases the riskBfor calcification and cardiac complications. When hypercalc
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emia occurs, diet and medications may need to be evaluated and adjusted. Hypocalcemia is rare
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causing painful muscle spasms, osteoporosis, numbness, confusion, and seizures (when extrem
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ely low).
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Importance of vitamins: - CORRECT ANSWER - b b b b b b




Dialysis patients require a special renal vitamin supplement. Some nutrients are lost each treat ment,
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and the renal diet is restricted in some nutrients-
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decreasing intake by the patient. These renal vitamins have the appropriate amount of vitamin c,
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vitamin B complex, and folic acid. A regular over-the-
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counter vitamin can have too much or not enough of some nutrients. Examples are Nephro-
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Vite, Nephrocaps, and Dialyvite ®. The vitamin is taken after dialysis (on dialysis days) so it won't be
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dialyzed out during treatment. Several B vitamins are needed for red blood cell production (
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anemia management) including: folic acid, B12, and B6. Other nutrients needed in this process are
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iron, copper, and protein. Dialysis patients may easily build up toxic levels of vitamins in thei r blood,
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especially vitamin A. Therefore, they should consult their physician or dietitian prior to t aking over-
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the-counter medication, including vitamins. b b b




Role of the Nurse and PCT - CORRECT ANSWER -
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Nurse: Communicates orders and order changes; ensures proper lab draw; reviews medications; follows
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orders; maintains medication lists.
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PCT: reinforces education to patients; informs RN/RD/SW when patients share concerns; comm unicates
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fluid issues, appetite issues, and complaints about nausea/vomiting and diarrhea.
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5 stages of grief - CORRECT ANSWER -Denial
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b Anger

Bargaining

Depression
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Acceptanc
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e