FRESENIUS EXAM 2023 WITH 100% CORRECT ANSWERS

What is a pre-dialysis evaluation? 1) Review of the patient's health. 2) Compares current health status to previous evaluations. Why is pre-dialysis evaluations needed? 1) To determine if the patient is stable to receive treatment. 2) Determine if there has been a change in health status. 3) Provides a baseline date to plan for a safe treatment. Describe Universal precautions Steps we take with all patient contact to decrease the risk of spreading infection to protect our patient and ourselves. What are the 3 C's? 1) Condition (objective) 2) Complaints (subjective) 3) Changes (objective) What should you look for with: Ambulation Gait changes, use of assistive devices, ROM, energy level. What should you look for with: Mental status and mood A&O x 3, any changes in usual mood (Alert and orientation) Person, place, time (situation) A&Ox4 What should you look for with: Skin Color, integrity, temperature, edema What should you look for with: Vital signs Weight, BP, HR, respiration's, temperature What is EDW? Estimated Dry weight A patient's wt with excess fluid removed When is a RN required to assess a pre-treatment wt? If the patient pre-treatment wt is 4 kg above EDW. What does a blood pressure measure? Measurement of the pressure of force of blood against the walls of the arteries. When do you report a blood pressure to the RN? SBP 100 or 180 DBP 100 When do you report a heart rate to a RN? New onset of HR 60 or 100 or a irregular beat When do you report a respiratory rate to the Rn? A respiratory rate of 24 breaths per minute True or False Does a dialysis patient maintain an average temperature? False! When do you report a temperature to the RN? Temperature 96 & or = to 100 degrees Name some important complaints you need to report to the RN? (10) 1) Dizziness 2) Chest pain 3) SOB (shortness of breath) 4) Any new complaints 5) A visit to the ER or a hospital stay 6) Weakness 7) Numbness or tinglinng 8) Fever or chills 9) Depression/sadness 10) Pain