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DaVita (RN) Final Exam/Actual Questions and Answers Latest 2024/2025/100% Correct.
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DaVita (RN) Final Exam/Actual Questions and Answers Latest 2024/2025/100% Correct.
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DaVita (RN) Final Exam/Actual Questionsand Answers Latest 2024/2025/100%
Correct.
kidney excretory functions - ANSWER-normalize
electrolytes, remove wastes, provide fluid & acid
base balance
fxn of acid concentration - ANSWER-concentration
gradient for diffusion/osmosis to take place
fxn of bicarbonate - ANSWER-buffers acid
concentrate (in dialysate) & normalizes pH (in pt)
hyperkalemia - ANSWER-> 5.5 mEq extreme
muscle weakness, abn heart rhythm, cardiac arrest
hypokalemia - ANSWER-< 3.5 mEq fatigue, muscle
weakness, paralysis, resp failure, arrhythmias,
cardiac instability/arrest
,kidney endocrine fxn - ANSWER-renin & EPO
secretion, vit D activation
common causes of CKD - ANSWER-diabetes,
hypertension,
polycystic kidney disease
how much of normal kidney fxn replaced by
hemodialysis - ANSWER-15%
signs & symptoms of fluid imbalance - ANSWER-
hypertension, edema, shortness of breath
consequence of prolonged fluid overload &
hypertension - ANSWER-left ventricular
hypertrophy (LVH)
treatment for pericarditis - ANSWER-decrease/stop
heparin, more frequent dialysis
common cause of hypertension - ANSWER-fluid
overload
why dialysis pts are anemic - ANSWER-primary
cause: lack of EPO
,secondary cause: inad. iron stores, inad. dialysis,
malnutrition, blood loss during treatment
how PCT can avoid contributing to lowered
hemoglobin & blood loss - ANSWER-verify EPO
stimulating agent is correct, rinse back until venous
line pink, avoid repeat lab draws
four key elements contributing to CKD-mineral bone
disorder (CKD-MBD) - ANSWER-Ca+ , P , PTH,
Vit D (calcitriol)
pre- , intra- & post-renal causes of AKI - ANSWER-
pre: obstruction, vol depletion, impaired cardiac fxn,
decreased cardiac output
intra: ischemic ATN, sepsis, acute interstitial
nephritis, septic shock, anaphalaxis, drugs...
post: obstruction, bladder rupture, pregnancy
AKI patients are at increased risk for which
complications - ANSWER-hypovolemia &
hypotension
, most common infections in ICHD patients -
ANSWER-bacterial vascular access infections
what organism causes the most infections in ICHD
patients - ANSWER-MRSA
what is strikethrough - ANSWER-fluid penetration
& contamination of internal pressure transducer
HBsAg, HBsAb, HBcAb - ANSWER-HBsAG Hep
B Surface ANTIGEN >> monthly testing
HBsAB Hep B Surface ANTIBODY
HBcAB Hep B Core ANTIBODY
Hep B and cross-contamination amongst pts -
ANSWER--care for HBsAg+ & Hep B immune at
the same time
-care for Hep B susceptible pts & those receiving
vaccination at the same time
-care for Hep B immune & susceptible pts at same
time
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