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BONENT Exam 2023 /328 Complete Questions With Verified Answers
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BONENT Exam 2023 /328 Complete Questions WithVerified Answers
Quiz :In center hemo must be done - √Answer :3x a week for about 4 hours
Quiz :Cons of in center HD - √Answer :Most limitation on Diet, fluid than other
modalities
Requires the most medication
Most symptoms
Quiz :Patients who run 4 hour tx - √Answer :Are 30% less likely to die than pts
who run shorter times
Each 30 mins extra of tx increase life by 7%
Quiz :Patients are 50% more likely to die after - √Answer :2 day no treatment
weekend, the last 12 hours of the 2 days the risk of death triples
Quiz :diastolic blood pressure - √Answer :When the heart is at rest.
Quiz :Benefits of nocturnal in center - √Answer :You get 2x as many txs as
standard because it is longer and more gentle with fluid removal
Rarely cramp
,Easy on heart
Fewer limitations on food and drink
Free days
72% better survival rate than standard in center
Quiz :You check blood pressure with - √Answer :Stethoscope and
sphygmomanometer
Quiz :Nocturnal in center hemo must be done - √Answer :3x a weeks about 8
hours per tx
Quiz :If BP site is below the heart.... - √Answer :The reading will be to high
Quiz :Benefits of nocturnal home hemo - √Answer :Better protein level
Don't need binders
No fluid limits
Fewer symptoms
Less heart damage
Live as long as people who get a deceased kidney transplant
Quiz :If BP site is above the heart.... - √Answer :The reading will be to low
Quiz :Home hemo must be done - √Answer :3x a week 4-6 hours per tx
Quiz :Benefits of PD - √Answer :Can do alone at home or work
Only need 1-2weeks of training
Allows for a more normal diet
Allows pt to feel more normal
Quiz :peritonitis - √Answer :inflammation of the peritoneum, this can scar the
peritoneum and make PD no longer possible, can be avoided by doing a sterile
exchange
Quiz :2 types of PD - √Answer :Continuous ambulatory peritoneal dialysis
(CAPD)
Automated peritoneal dialysis (APD)- uses cycled at night done 8-10 hours
during sleep
Quiz :During in center HD how much blood is outside of body at a time -
√Answer :1/2 cup
, Quiz :Short Daily Home Hemodialysis must be done - √Answer :5-6days a week
for the 2.5-4 hour per tx
Quiz :a bp cuff that is too small or to loose will cause a - √Answer :Higher
reading
Quiz :Nocturnal home hemomust be done - √Answer :At home 3-7 nights a
week 8 hours per tx
Quiz :A no cuff that is to big for a patients arm ... - √Answer :Lower reading
Quiz :Why would someone want to do more HD than standard? -
√Answer :Longer or more frequent HD is gentle and cause fewer symptoms
and may help Pt live longer, home puts pt in charge
Quiz :peritoneal dialysis - √Answer :the lining of the peritoneal cavity acts as
the filter to remove waste from the blood through tiny blood vessels.
Placed in abdomen and sometimes chest wall
Dialysate sits in catheter for a few hours and excess water and waste flows
from BV to the dialysate. The dialysate is then drained and replaced.
(Exchange)
Pt can use a cycle mahjne while they sleep
Can also be done by hand 4xa day and can be done anywhere.
Quiz :In dialysis patients the reason BP drops during or close to the end of tx is
because - √Answer :The total blood volume drops, from the water removal
Quiz :regular respiration rate - √Answer :12-16 breaths per minute
Quiz :In dialysis patients water may enter the lungs due to water weight gains
this can cause - √Answer :Sob or trouble breathing
Quiz :Payment for dialysis - √Answer :Medicare pays for 80% of dialysis
Medicare makes rules a clinic must follow to provide coverage of tax.
Pt who don't have Medicare before CKD a pt must wait 3 months for it to cover
in center but it will cover home-hemo right away.
2011 change how they pay for dialysis and created a "bundle" (composite rate,
labs,drugs and home training)
, Quiz :Quality Incentive Program - √Answer :Pay for performance, Cuts pay by
2% if measures aren't met. (Kt/v and hemoglobin)
Quiz :ESRD networks - √Answer :Oversees quality of care, 18 mostly nonprofit
organizations.
Quiz :Renal physicians association(RPA) - √Answer :1993 nephrologist made
first clinical practice guidelines, including minimum dose of HD , when to start
and stop HD and care for kidney disease for pt not on HD
Quiz :National Kidney Foundation (NKF) - √Answer :1995, experts set
guidelines for anemia, adequacy, and vascular access
Quiz :KDOQI - √Answer :Kidney Disease Outcomes Quality Initiative, improves
care and outcomes of all people with kidney disease
Quiz :Dialysis Outcomes and Practice Pattern Study - DOPPS - √Answer :Help
pts love longer by finding patterns incenter that can be changed to improve
outcome
Quiz :state survey - √Answer :An inspection of the facility by state surveyors
for compliance with rules and regulations of Medicare. If clinics don't follow
they must make a plan of correction.
Quiz :Continuous Quality Improvement (CQI) - √Answer :Finding problems and
fixing them. 4 step process
Quiz :4 steps of continuous quality improvement - √Answer :1.identify the
problem- collect data and figure out how to fix
2.analyze problem-see if there is a standard or guideline to fix it, look at
patterns or trends
3.cause of problem?
4.Plan,do,check,act- make a plan to fix, try plan, check results and make
changes if needed
Quiz :Professionalism - √Answer :The quality of performing at a high level and
conducting oneself with purpose and pride
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