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FINAL EXAM DAVITA 2|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

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Waiting only 5 seconds between lowering the blood pump speed and drawing the post treatment blood sample would: Cause the kt/v reading to be falsely high The nephrologist orders a BFR of 300 for a pt with a two month old AV fistula. What gauge needle would be appropriate for this BFR? 16 gauge Which of the following factors would influence the V of the kt/V formula? amputation factor A pt with AKI dialyzes in the out patient facility. In regards to the position Target weight, why is being "wet" better than being too dry? Being wet helps avoid hypovolemia and hypotensive episodes Knowing what caused your pts renal failure is important why? to inquire about possible problems during data collection and assessment Intradialytic Hypotension can have adverse reaction such as: impaired tissue perfusion of vital organs and organ injury A recommended intervention for muscle cramps is: turning the UFR off Per DaVita Policy, fever and chills is defined as: Any temperature greater than 100F or increase over baseline of 2F with symptoms One hour into the tx your pt complains of feeling warm and her temperature has risen by 2°F, you suspect this. pyrogenic reaction In the event of a pt experiencing a seizure,the dialysis tx should be: Discontinued IF the seizure is severe or the pt doesn't respond to tx Which in center hemodialysis pts are at risk of experiencing signs and symptoms of dialysis disequilibrium syndrome? Pts who are skipping tx's The left side Trendelenburg position is used for: A pt who experiences an air embolism Your immediate intervention for a pt experiencing an anaphylactic reaction is: Stop blood pump, D/C tx, do NOT return the blood Intervention for a pt complaining of chest pain/angina includes: Decrease BFR, Decrease UFR, administer O2 As you initiate the tx, your pt complains of pain at the venous needle site, tingling around the lips and difficulty breathing. These are signs and stmptoms of a disinfection infusion In states that do not mandate a pre-dialysis pt assessment by the RN: the PCT must inform the nurse of unusual data collection findings prior to treatment imitation Squeezing an automated blood pressure cuff to speed up deflation: Can damage the machines internal blood pressure module How do you verify that the pt is stable and safe for D/C after dialysis tx? All of the above: evaluates the effectiveness of the tx by comparing data to pre-dialysis findings, pcts notify nurse of unusual findings, nurse preforms a post tx assessment as required Documentation in the medical record: Provides data for continuity and planning pt care All documentation on machine set up and pre-tx pt info: MUST be entered into the computer before treatment Post tx data collection and assessment is preformed: After the tx was terminated You administered a 100ml saline bolus to your pt during tx. What would be important to include in your documentation? The reason for administering the saline, and the pts response The PCT notes that a pt still has considerable edema in her legs when performing the post tx data collection. In addition to informing the nurse, what should the PCT document? Document the noted swelling and that the RN was informed to assess

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