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NCCAOM HERBS FINAL EXAM LATEST UPATED (QUESTIONS AND VERIFIED ANSWERS) RATED A+
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QUESTIONS AND ANSWERS
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NCCAOM HERBS FINAL EXAMLATEST UPATED (QUESTIONS
AND VERIFIED ANSWERS)
RATED A+
Wai%ng only 5 seconds between lowering the blood pump speed and drawing
the post treatment blood sample would:
Cause the kt/v reading to be falsely high
The nephrologist orders a BFR of 300 for a pt with a two month old AV fistula.
What gauge needle would be appropriate for this BFR?
16 gauge
Which of the following factors would influence the V of the kt/V formula?
Amputa%on factor
A pt with AKI dialyzes in the out pa%ent facility. In regards to the posi%on Target
weight, why is being "wet" beQer than being too dry?
Being wet helps avoid hypovolemia and hypotensive episodes
Knowing what caused your pts renal failure is important why?
To inquire about possible problems during data collec%on and assessment
Intradialy%c Hypotension can have adverse reac%on such as:
Impaired %ssue perfusion of vital organs and organ injury
A recommended interven%on for muscle cramps is:
Turning the UFR off
Per davita Policy, fever and chills is defined as:
Any temperature greater than 100F or increase over baseline of 2F with
symptoms
,One hour into the tx your pt complains of feeling warm and her temperature
has risen by 2°F, you suspect this.
Pyrogenic reac%on
In the event of a pt experiencing a seizure,the dialysis tx should be:
Discon%nued IF the seizure is severe or the pt doesn't respond to tx
Which in center hemodialysis pts are at risk of experiencing signs and
symptoms of dialysis disequilibrium syndrome?
Pts who are skipping tx's
The le^ side Trendelenburg posi%on is used for:
A pt who experiences an air embolism
Your immediate interven%on for a pt experiencing an anaphylac%c reac%on is:
Stop blood pump, D/C tx, do NOT return the blood
Interven%on for a pt complaining of chest pain/angina includes:
Decrease BFR, Decrease UFR, administer O2
As you ini%ate the tx, your pt complains of pain at the venous needle site,
%ngling around the lips and difficulty breathing. These are signs and stmptoms
of
A disinfec%on infusion
In states that do not mandate a pre-dialysis pt assessment by the RN:
The PCT must inform the nurse of unusual data collec%on findings prior to
treatment imita%on
Squeezing an automated blood pressure cuff to speed up defla%on:
Can damage the machines internal blood pressure module
How do you verify that the pt is stable and safe for D/C a^er dialysis tx?
All of the above: evaluates the effec%veness of the tx by comparing data to pre-
dialysis findings, pcts no%fy nurse of unusual findings, nurse preforms a post tx
assessment as required
, Documenta%on in the medical record:
Provides data for con%nuity and planning pt care
All documenta%on on machine set up and pre-tx pt info:
MUST be entered into the computer before treatment
Post tx data collec%on and assessment is preformed:
A^er the tx was terminated
You administered a 100ml saline bolus to your pt during tx. What would be
important to include in your documenta%on?
The reason for administering the saline, and the pts response
The PCT notes that a pt s%ll has considerable edema in her legs when
performing the post tx data collec%on. In addi%on to informing the nurse, what
should the PCT document?
Document the noted swelling and that the RN was informed to assess
Poor or incomplete documenta%on:
Can open an aQack on your care
When comple%ng an AOR it's important to:
State the facts in regards to the 5ws
What is the purpose of selec%ng the component measures for davita DQI?
To encourage con%nuous improvement across a broad range of disease
management processes
DQI success is achieved by:
All of the above: Managing individual pts first, and scores to follow. Knowing
each team members role in improving DQI scores. Using DQI process to help
iden%fy trends and make improvements
When sodium loading is present during the dialysis treatment:
It leads to an increase in thirst and larger fluid weight gain between txs and can
contribute to post dialysis hypertension and headaches
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