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Final Exam DaVita (RN)

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Final Exam DaVita (RN) When dialyzing a patient with acute kidney injury, one task of the patient care teammates is to monitor blood pressure and weight closely. Why is it important? Ans- hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys CKD can ...

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  • February 28, 2023
  • 11
  • 2022/2023
  • Exam (elaborations)
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Final Exam DaVita (RN)
When dialyzing a patient with acute kidney injury, one task of the patient care teammates is to monitor
blood pressure and weight closely. Why is it important? Ans- hypovolemia and hypotensive episodes can
cause renal ischemia and can further damage the kidneys



CKD can have its orgin pre-renal , intra-renalm or post renal. Which of the following conditions is an
intra-renal cause of CKD Ans- HTN



Knowing what caused your patient's CKD Ans- is important because the underlying disease could cause
health complications that can impact the dialysis treatment



When a PCT documents the extent of a patient's edema, for example as +3 Ans- the PCT is preforming
an assessment which is not allowed legally



When a patient has an irregular heartbeat, Ans- the automatic BP reading may not be accurate



Which of the following is a data collection Ans- HR 72



at what time should the post treatment data collection be completed Ans- after the treatment has been
completed



the A in smart communication stands for Ans- actual- just report the facts



which of the following events is defined as a near miss Ans- the wrong dialyzer was set up and primed
for a patient, but it was caught before dialysis was initiated and the dialyzer was replaced



using the __________ approach is one way to fill out an REM Ans- SBAR



What is your main priority when returning a patient's blood with the hand crank during a power outage?
Ans- you must be vigilant in watching for air in the blood lines

, what problem will cause an increase in the patient's VP Ans- a clot in the venous drip chamber



Which blood test must be performed at regular intervals on patients susceptible to HPB Ans- HBsAg



who is accountable for appropriate patient and teammate scheduling in the acute setting Ans-



you are dialyzing a patient and the only available HPB surveillance test is a HBsAb of 8. What are the
machine disinfection requirements after dialyzing this patient? Ans- the machine must be heat
disinfected at the end of each day



What is the most common factor contributing to bacteremia in dialysis patients? Ans- use of catheters
for HD



which infectious disease requires frequent hand washing instead of using alcohol based hand gels Ans-
active clostridioides difficile infection



What precautions must be used when handling lab specimens? Ans- universal precautions



waiting only five seconds between lowering the blood pump speed and drawing the post treatment
blood sample could Ans- cause the post treatment BUN reading to be falsely low (wait 15 seconds)



which may cause a decrease in the hemoglobin of a patient with ESRD Ans- infection/inflammation



fluid overload and HTN lead to LVH, this means Ans- hypotensive episodes are more likely to occur
during the dialysis treatment



your role in CKD-MBD management includes Ans- reminding the patient who is eating a snack during
dialysis to take his phosphate binder



your role in anemia management includes Ans- rinsing back as much of the patient's blood as you can at
the termination of each treatment

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