DAVITA FINAL EXAM QUESTIONS WITH CORRECT ANSWERS RATED TO PASS

Fluid Balance, electrolyte balance, waste removal, and acid base balance Are these Excretory or Endocrine functions of the kidneys? - Excretory Renin & Erythropoietin Secretion, Activation of Vitamin D Are these Excretory or Endocrine functions of the kidneys? - Endocrine LVH (left ventricular hypertrophy) leads to - Intradialytic hypotension Ischemic heart disease Arrhythmias Myocardial Infarction Sudden Death Sepsis, trauma, anaphylaxis, drugs, & acute glomerulonephritis are examples of: - Intra-renal causes of AKI What are some causes of a more negative pre-pump Arterial Pressure? - Clamped lines Kink in the arterial line between the vascular access and arterial monitor Clot Increased blood pump speed Needle Placement What is the dialysate flow pattern that increases the rate of diffusion? - Counter-Current Flow What % is considered an excessive IDWG? - Greater than 5% of the TW Patients should be educated to take their phosphate binders when? - With all meals and snacks When is pre-treatment assessment required? - When there are: Abnormal findings on data collection State regulation AKI patient New patient Nurse is initiating tx Clotting of a high flux dialyzer will cause the TMP to: - Decrease Clotting of a low flux dialyzer will cause the TMP to: - Increase What are symptoms of an elevated potassium? - Extreme muscle weakness and an abnormal heart rhythm What is albumin (protein) needed for? - It's essential for growth, health maintenance, preventing infection, wound healing, and anemia management How far apart do the needle tips need to be placed? - 1.5 inches Good needle site rotation and complete needle site clotting techniques prevent which 2 vascular access complications? - Prevents the formation of aneurysms and pseudoaneurysms What are the 3 steps in complete access site evaluation? - Look, Listen, Feel Topical Anesthetic Spray: - Spray after access site disinfection has been completed Hold the can 3-7" from the access site Spray for 4-10 seconds, until the skin blanches. DO NOT FROST THE SKIN Why is it not necessary to flip the arterial needle? - The arterial needle has a back eye and flipping needles unnecessarily can lead to damage of the access This cannulator has at least 6 months of AV access cannulation experience and at least 10 successful cannulations on established fistulae: - Intermediate Cannulator What is the required length of time to perform scrub the hub of a CVC? - 15 seconds What is an intervention for muscle cramps? - Turn the UF off What complication is the patient placed in Left Side Trendelenburg position for? - Air Embolism T or F: Hypotension & hypovolemia are associated with an increased mortality rate. - True Data Collection- PCT - Noting presence of edema Hr & rhythm Rr Machine parameters & safety checks Assessment- Nurse - Determining depth of edema Rate, rhythm, quality of heart sounds Respiration rate, rhythm, effort being put into breathing, identifying unusual lung sounds