final exam davita 2023

final exam davita 2023 what is the difference between data collection and assessment? who does what? Ans- data collection:yes or no assessment: the extend. what is the role of pct prior to treatment initiation? Ans- data collection notify nurse of any abnormalities what is the role of the licensed nurse prior to treatment initiation? Ans- nurse assessment when us a pre-treatment assessment by the licensed nurse required? Ans- if vitals were abnormal when is post treatment assessment by the licensed nurse required? Ans- up normalities during treatment. note about bp Ans- squeezing the auto blood pressure cuff to speed deflation can damage machine internal bp module. why do we document in the medical record? 4 reasons Ans- that care was rendered de data continuity ent legal record nication tool list 6 occurrences when to chart? Ans- e from baseline assessment e in patient condition dure for treatment ation given nt teaching plan review and intervention pre-treatment data collection/ assessment Ans- before treatment intuition assessment within one hour if pt is stable for nurse post treatment data collection/assessment Ans- post treatment only what are possible consequence of proof or incomplete documentation? Ans- poor or incomplete documentation can open an attack on your care what are the 6 items included in charting administered Ans- ation dosage and time for administeration response ture of teammate adminsteration gies always check the allergy screen in screen in falcon for a list of your pt. how do you document charting errors Ans- single line sign and date what does SMART communication stand for Ans- Simple and clear Meaningful Actual Read Teach what are the 5 w's to be used when completing an AOR Ans- what where who when why what are the four consequence of sodium loading during dialysis Ans- .thirst intalle ;headaches +hypertenstion what treatment factors decreases K? Ans- not waiting 3-5 minutes after giving Heprin what factors influence V? Ans- on average a persons body composed of 50-55 % water. a person height weight sex,age and amputation are included in calculating V lab draw mistakes that would falsely increase kt/v? Ans- not waiting 15 second when is post treatment blood sample draw too high? Ans- waiting only 5 seconds between lowering the blood pump speed and drawing post treatment blood sample would cause the kt/v reading to be too high is it okay for pt to come off early on lab day? Ans- If pt wants to get off early educate pt risk still draw lab and re-draw on full treatment (every time) what is important when monitoring weight and bp? Ans- acute patient only-keep pt wet and avoid hypotensive episodes. what do you need to consider in regards to their vascular access? Ans- follow p and p to prevent infection why is it important to know what caused your patients CRF? Ans- its important to know to help inquire about possible problem during data collection and assessment. what is the purpose of uf profilling? Ans- purpose of uf profiling the way fluid removed during treatment allow time for vascular refilling what are consequence if patient is consistently fluid overloaded(hypervolemia)? Ans- hypertension, left ventricular hypertrophy, cardiovascular disease what can cause hypovolemia ? Ans- attempting to remove large amount of fluid weight for patient can lead to hypovolemia what are conductivity and ph alarm causes? Ans- machine conductivity ad manual reading can be no greater or less then 0.4 difference. after test use phenix meter to: Ans- measure ph in dialysate to verify acid base balance with acceptable range what are temperature alarm causes? Ans- hemolysis occurs at 42 Celsius or higher. power appropriate intervention Ans- e venous line from air detector clamp before starting Hand cracked. delight watching for air venous pressure high alar causes Ans- more positive cinck in tubing/clamp,infilteration,venous stenosis. clotting in venous drip chamber the reasonable and prudent standard of care for nephrology nursing: key concept Ans- when supervising non license is the responsibility of the license nurse to ensure also teammate meet standard of care. what role does Davita p&P play? Ans- policy is guide lines principle "the why" what are the risk of doing it your way ? Ans- civil liability what makes dialysis patient more susceptible to HAIs? Ans- weakened immune system prolong accès to pt blood why are dialysis pt at increased risk for acquiring a HAI at the facility? Ans- contact transmition wha tis the most common transmition route for HAIs? Ans- contact transition what is the most important intervention you can do to prevent HAIs? Ans- hand hygiene wha tis the most common infectious complication in hemodialysis pt? Ans- lar access infection cdc the most common factor contributing to bacteriumia is use of cvc. what germ causes the most common infections in hemodialysis pt? Ans- MRSA MRSA can remain on service for days. being most favorable to survival why is wearing gloves important? Ans- function of gloves decrease the risk of hand contamination. successful lab draws know the 20 tips Ans- follow the order of draw to prevent specimens from being contaminated with other tube additive double labeling tubes prohibits processing what is rule of spinning samples? Ans- balance, spin tubes of same kind size fill level and should be placed opposite of each other. what are signs and symptoms of hyperkalemia Ans- high potassuim-muscle weakness, abnormal heart rate what are signs and symptoms of hypokalemia Ans- low potassium-muscle cramp abnormal heart rate cold how can you prevent contributing to blood loss? Ans- te heparinzation giving heprin why are patients anemic ? Ans- lack of (ego)erythropoietin what is pericarditis? what is included in its treatment ? Ans- no heparin hold or decrease heparin peripheral neuropathy Ans- check temperature of bathwater don't walk bare feet frequent foot check what are the 4 key elements affected in CKD-MBD? Ans- um horous hyroid hormone nt D what does the acronym DARN stand for? Ans- desire ability reason need when should the communication style directing be used? Ans- when training to perform procedure what are the 3 core communication skills to be used within the communication styles Ans- asking, lisening,involving what is the best way to help pt successful change behavior? Ans- the b