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100 question Davita - finals 2024 (1)
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100 question Davita - finals 2024 (1)
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100 question Davita - finals 2024A surveyor asks you a question. Which of the following statements would be a good answer? -
CORRECT ANSWER-I do not know the answer but I will find out
Knowing what caused your patients' renal failure - CORRECT ANSWER-Is important to identify
possible problems during data collection and assessment
The dialysis team prevents additional blood loss by - CORRECT ANSWER-Providing appropriate
heparin dose per physician order, using good cannulation technique, and proper rinse back after
treatment
*** What amount of fluid weight is considered excessive? - CORRECT ANSWER-Greater than 5%
The definition of Health Literacy is - CORRECT ANSWER-The degree to which individuals
understand basic health information
*** Intra-renal causes of Acute Kidney Injury (AKI) - CORRECT ANSWER-Sepsis, trauma,
anaphylaxis, drugs, Acute Glomerulonephritis
Why is meticulous hand hygiene so important in healthcare? - CORRECT ANSWER-It is the
single most important intervention in preventing Healthcare Associated Infections
*** The endocrine functions of the kidneys are - CORRECT ANSWER-Renin and erythropoietin
secretion, activation of vitamin D**
*** Which infectious disease requires frequent hand-washing instead of using alcohol based hand
gels? - CORRECT ANSWER-Active Clostridioides difficile infection (C-diff)
At what time do you perform water hardness testing? - CORRECT ANSWER-At the end of the
treatment day
What are three things you should NOT include in a Risk Event Management (REM) report? -
CORRECT ANSWER-Personal opinions, speculation, vendettas
Fever caused by a pyrogenic reaction will most likely occur at what time during the treatment? -
CORRECT ANSWER-Within 45 to 75 minutes
*** What is the most likely reason for a blood leak detector alarm during recirculation? -
CORRECT ANSWER-Air bubbles in dialysate or a dirty sensor
You listen to your patient's arteriovenous graft (AVG) and hear a whistling sound. - CORRECT
ANSWER-This could be indicative of an outflow stenosis
The Urea Reduction Ratio calculates - CORRECT ANSWER-The amount of urea removed during
the dialysis treatment
Documentation in the medical record - CORRECT ANSWER-Provides data for continuity and
planning of patient care
, *** Left Ventricular Hypertrophy leads to - CORRECT ANSWER-ischemic heart disease
arrhythmia, myocardial infarction, and sudden death
What should be done to the heparin infusion line if a patient does not have maintenance (hourly)
heparin prescribed? - CORRECT ANSWER-Clamp and knot the heparin infusion line
The most common infectious complication for hemodialysis patients is - CORRECT
ANSWER-Vascular access infection
The person responsible for implementation, adherence, and training of the facility specific
emergency management plan (EMP) and applicable policy and procedures is - CORRECT
ANSWER-Facility Administrator (FA) or Designee
Interventions for a patient complaining of chest pain include - CORRECT ANSWER-Decrease
blood flow rate (BFR) to 150mL/hr. decrease ultrafiltration rate (UFR), take vital signs, and
administer oxygen as ordered
Which of the following may be, but doesn't have to be a sign of hemolysis - CORRECT
ANSWER-Cherry red colored blood in venous line
Per the Centers for Disease Control and Prevention (CDC), which is the most important route by
which pathogens are transmitted in health-care settings including dialysis centers? - CORRECT
ANSWER-Contact transmission
Your immediate intervention for a patient experiencing an anaphylactic reaction is - CORRECT
ANSWER-Discontinue the suspected therapy, stop the blood pump, do not return the blood
*** Scrubbing of each hub as part of CVC care is done for: - CORRECT ANSWER-15 seconds
What are the three steps included in the vascular access assessment? - CORRECT
ANSWER-Look. listen feel
*** You are assisting a patient to step onto the scale by holding the patient's hand. Such a casual
contact - CORRECT ANSWER-Does not require wearing gloves but you must perform hand
hygiene afterwards
What can be the most likely result if the surveyor sees a patient with a covered vascular access? -
CORRECT ANSWER-An Immediate Jeopardy
*** Per the Centers for Disease Control and Prevention (CDC), which is the most common factor
contributing to bacterial infections in dialysis patients? - CORRECT ANSWER-the use of catheters
for hemodialysis
The Clinical Pyramid includes: - CORRECT ANSWER-The Fundamentals. Complex Programs,
and Quality of Life.
*** If clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - CORRECT
ANSWER-decrease
Which is the primary device for purifying the water used in dialysis? - CORRECT ANSWER-The
reverse osmosis
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