Davita final Competency exam with complete solutions

If a patient with acute kidney injury (AKI) dialyzes in the outpatient facility, one task of the patient care teammates is to monitor blood pressure (BP) and weight closely. Why is this important? - ANSWER-Hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys Chronic kidney disease can have it's origin pre-renal(Before), intra-renal(During), or post renal(after). Which of the following conditions is an intra-renal cause of CKD? - ANSWER-Hypotension Knowing what caused your patients CKD... - ANSWER-Is important because the underlying disease could cause health complications that can impact the dialysis treatment Which of the following factors would influence the K of the Kt/V Formula? - ANSWER-Blood Volume processed (BVP) It is important that patients stay for their entire treatment time because adequate dialysis replaces... - ANSWER-Less than 15% of normal kidney function Waiting only five seconds between lowering the blood pump speed and drawing the post treatment blood sample could... - ANSWER-Cause the Kt/V reading to be falsely high When a PCT documents the extent of a patients edema, for example as +3... - ANSWER-The PCT is performing an assessment, which is not legally allowed When a patient has an irregular heartbeat... - ANSWER-The automated oscillometric BP reading may not be accurate A patient presents with an elevated temperature after the initiation of dialysis. This is most likely due to... - ANSWER-A Pyrogenic reaction When is a pre-treatment assessment by the licensed nurse required? Check all that apply! - ANSWER-A) When it is mandated by the state B) When the PCT performing a data collection notices abnormal findings C) When the patient reports unusual symptoms to the nurse prior to treatment initiation D) When the nurse observes unusual behaviors in a patient entering the treatment floor. If a patient had an adverse reaction within the first couple minutes of treatment after treatment initiation, yet no pre-treatment data has been entered into the computer... -