Davita Rise Final Exam Latest Update 2024 Actual Exam
Questions with Correct Detailed Answers/ Graded A+
A common cause of hypertension in dialysis patients is - Correct Answer - • fluid
overload
What does hypertension lead to? - Correct Answer - • Left Ventricular Hypertrophy
Left Ventricular Hypertrophy leads to: - Correct Answer - • ischemic heart disease,
arrhythmia, myocardial infarction, and sudden death
Why are dialysis patients anemic? The life span of their red blood cell is 60 days or
approximately ½ of normal 120 days. - Correct Answer - Primary cause: Lack of the
hormone erythropoietin (EPO)
Secondary causes: Inadequate iron stores, inadequate dialysis, malnutrition, blood loss
during treatment
What are the four key elements contributing to CKD-Mineral Bone Disorder (MBD)? -
Correct Answer - • Calcium, Phosphorus, PTH, Vitamin D (Calcitriol)
- All lead to CKD-MBD when they are abnormal
What are two concerns with using DI Tanks? - Correct Answer - • Exhaust quickly
• When exhausted they dump/release previously removed ions back into water
Response to Final Water Quality Alarm - Correct Answer - Bypass
• Notify Charge nurse/FA/Biomed/ Medical Director
• If not restored must terminate treatments and complete REM
How often are water and dialysate cultures drawn and monitored for bacteria and
endotoxins? - Correct Answer - monthly
Pre-renal causes of AKI - Correct Answer - Obstruction, Volume Depletion, Impaired
Cardiac Function
Intra-renal causes of AKI - Correct Answer - Ischemic ATN, Sepsis, SIRS, Septic Shock,
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open
Heart Surgery
Post-renal causes of AKI - Correct Answer - Obstruction, Oliguric, Bladder rupture,
Pregnancy
Explain the difference between AKI and CKD - Correct Answer - • Eliminating the cause
of the AKI can often lead to the return of kidney function
• You cannot eliminate the cause of CKD which is HTN, Diabetes, genetic disorders
(PKD)
pg. 2
, What are V-tags and why are they important? - Correct Answer - • They state specific
regulations to be met within a condition such as infection control, providing interpretive
guidance for each regulation and citing deficiencies by tag #
The manual conductivity value must match +/- 0.4 mS on the Fresenius (FMC) 2008K
and K2 dialysis delivery system displayed conductivity. Checking independent
conductivity is NOT required when using the Fresenius 2008T or T BlueStar models or
B Braun hemodialysis machines.
T or F - Correct Answer - T
What is "strikethrough" of an external pressure transducer and why is it of concern? -
Correct Answer - • It is when fluid could have entered the machine and contaminated
the internal pressure transducer protector providing a reservoir for microorganisms and
causing subsequent patient blood infections
List six occurrences when to document. - Correct Answer - Baseline assessment
Change from baseline assessment
Change in patient's condition
Procedure or treatment
Medication given and patient response
Patient teaching
What does SMART communication stand for? - Correct Answer - S: Simple: keep
message clear and simple
M: Meaningful: think about what and why you are sending the message
A: Actual: just report the facts
R: Read: make sure you are sending the message you intend
T: Teach: others about SMART communication
Data Collection-PCT - Correct Answer - Noting presence of edema
pg. 3
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