Davita Final Exam Questions With 100% Correct Answers | Verified | Updated 2024, Exams of Nursing

Download Davita Final Exam Questions With 100% Correct Answers | Verified | Updated 2024 and more Exams Nursing in PDF only on Docsity! Davita Final Exam Questions With 100% Correct Answers | Verified | Updated 2024 what is the difference between data collection and assessment? who does what? - Correct Answer-data collection:yes or no assessment: the extend. what is the role of pct prior to treatment initiation? - Correct Answer-data collection notify nurse of any abnormalities what is the role of the licensed nurse prior to treatment initiation? - Correct Answer- nurse assessment when us a pre-treatment assessment by the licensed nurse required? - Correct Answer- if vitals were abnormal when is post treatment assessment by the licensed nurse required? - Correct Answer- up normalities during treatment. note about bp - Correct Answer-squeezing the auto blood pressure cuff to speed deflation can damage machine internal bp module. why do we document in the medical record? 4 reasons - Correct Answer-1.proof that care was rendered 2.provide data continuity 3.permnent legal record 4.communication tool list 6 occurrences when to chart? - Correct Answer-1.change from baseline assessment 2.change in patient condition 3.procedure for treatment 4.medication given 5.patient teaching 6.care plan review and intervention pre-treatment data collection/ assessment - Correct Answer-before treatment intuition assessment within one hour if pt is stable for nurse post treatment data collection/assessment - Correct Answer-post treatment only what are possible consequence of proof or incomplete documentation? - Correct Answer-poor or incomplete documentation can open an attack on your care what are the 6 items included in charting administered - Correct Answer-1.medication dosage 2.data and time 3.route for administeration 4.pt response 5.signiture of teammate adminsteration 6.allergies always check the allergy screen in screen in falcon for a list of your pt. how do you document charting errors - Correct Answer-single line sign and date what does SMART communication stand for - Correct Answer-Simple and clear Meaningful Actual Read Teach what are the 5 w's to be used when completing an AOR - Correct Answer-what where who when why what are the four consequence of sodium loading during dialysis - Correct Answer-.thirst 2.fuid intalle 3.idwg;headaches +hypertenstion 4.ufr what treatment factors decreases K? - Correct Answer-not waiting 3-5 minutes after giving Heprin what factors influence V? - Correct Answer-on average a persons body composed of 50-55 % water. a person height weight sex,age and amputation are included in calculating V lab draw mistakes that would falsely increase kt/v? - Correct Answer-not waiting 15 second when is post treatment blood sample draw too high? - Correct Answer-waiting only 5 seconds between lowering the blood pump speed and drawing post treatment blood sample would cause the kt/v reading to be too high is it okay for pt to come off early on lab day? - Correct Answer-If pt wants to get off early educate pt risk involved.and still draw lab and re-draw on full treatment (every time) peripheral neuropathy - Correct Answer-check temperature of bathwater don't walk bare feet frequent foot check what are the 4 key elements affected in CKD-MBD? - Correct Answer-1.calcium 2.phosphorous 3.parathyroid hormone 4.vitment D what does the acronym DARN stand for? - Correct Answer-desire ability reason need when should the communication style directing be used? - Correct Answer-when training to perform procedure what are the 3 core communication skills to be used within the communication styles - Correct Answer-asking, lisening,involving what is the best way to help pt successful change behavior? - Correct Answer-the best way to help pt successfully change behavior is to inspire behavioral change through support, compassion and empathy. summarizing skill - Correct Answer-includes main aspect of what the pt said during the entire communication writing reflex - Correct Answer-in automatic intervention of health care practitioner who absorbs a pt doing something detrimental reflex. is there an order to work through the 5 stages of grief? - Correct Answer-NO what is KDQOL 36? - Correct Answer-kidney disease quality of care of life it is an assessment tool used for social workers to identify barriers what is KDQOL used for? - Correct Answer-social worker complies result and develops goals with the pt are social workers available to caregiver? - Correct Answer-social worker available for caregivers strangling to meet demands of pt treatment regiment 4 transport machisms that play role in hemodialysis - Correct Answer-1.ultrafilteration 2.convection 3.diffustion 4.osmosis what is ultrafilteration? - Correct Answer-controlled fluid removed by manipulation.removes fluid only what is convection? - Correct Answer-salutes are dragged with water. saluts and water what is diffusion ? - Correct Answer-particles move from high concentration to low construction.only particles what is osmosis ? - Correct Answer-fluid from lower to high.zuccni what are the kidney endocrine function? - Correct Answer-1.produce renin.regulate 2.erythropoetin 3.activiation of fitment d which convert (calibrated bone disease what is the function of bicarbonate? - Correct Answer-diffusion of bicarb from dialysate to blood helps normalize body ph consequence of organ stunning? - Correct Answer-hypotension can have many adverse affects includes impaired tissue prevention of vital organs. muscle cramps intervention - Correct Answer-decrease or turn off uf offer to stretch we don't want to dialoged clot. fever and chills defention - Correct Answer-any temperature greater then 100 fahernhit or increase over baseline of 2 fahrnihit with symptoms. pyrogen reaction definition - Correct Answer-react are caused by pyrogen such as endotoxin in water treatment occurs with in 45-75 min of treatment. pyrogen reaction causes - Correct Answer-break of water treatment, toxins inside bacteria seizures intervention - Correct Answer-discontinue treatment if seizures is sever or pt doesn't not respond to treatment dialysis disequiblrium syndrome prevention - Correct Answer-encourage pt not to skip treatment blood loss definition - Correct Answer-tmp clotting of dialyzer,needle disloging blood loss causes - Correct Answer-blood leak(fiber break loss) high pressure blood loss symptoms - Correct Answer-blood on floor, chair or clothing, tmp alarm disinfectant infusion symptoms - Correct Answer-pain at venous needle side, respiratory distress tingling around the mouth chest pain/angina intervention - Correct Answer-if mild turn uf decrease blood flow rate give oxygen air embolism intervention - Correct Answer-stop pump clamp lines left side trenvelenburg air taped int right atrium and venticular when pt is place into trendlengburg postion what are the 3 basic principle of self-managment ? - Correct Answer-1.dealing of consequence of illness rather than physical disease alone what is the definition of health literacy? - Correct Answer-the degree to which individuals have the capacity to obtain process and understand basic health information what are the educational tips for visual learners ? - Correct Answer-select quit surrounding what are the educational tips for auditory learners? - Correct Answer-word association and numonics what are the educational tips for tactile learners - Correct Answer-short lectures frequent breaks what are the meds PCTs can administer per DaVita P&p? - Correct Answer-1.heprin 2.lidocaine 3.saline at what time are medications contain a preservative discarded? - Correct Answer-28 days how long do we wait after administering heparin bolus prior to treatment intuition - Correct Answer-3-5 minutes how do you administer pain ease spray? - Correct Answer-blanching of the skin describe 4 AVF evaluations for maturation based on the KDOQI rules of 6s? - Correct Answer-6-8 weeks post op 600 ml per min blood flow diameter 0.6 cm or more depth below skin 0.6 cm Increase - Correct Answer-Clot in venous chamber Arterial pressure alarm fix - Correct Answer-fixing clamp, needle Venous pressure alarm fix - Correct Answer-Clamps, infiltration, clots Peritoneal dialysis - Correct Answer-homebased, CAPD,CCPD Home Hemodialysis - Correct Answer-overnight own schedule, one on one 6 wk training, no diet restrictions 24 hrs a week, pt feels better, buttonhole with fistula, home flexible Why are patients at increase risk for acquiring HAI - Correct Answer-Access infection, prolong exposure Most common infectious complication in hemodialysis pateints - Correct Answer-contact transmission HAI - Correct Answer-health care associated infections Hep B patients - Correct Answer-Can not take care of patients who dont have Hep B while in the isolation room Wearing gloves are important because - Correct Answer-Reduce contamination , hands are gross Clean sink - Correct Answer-wash hands only in clean sink Cleaned dialysis machines considered a CLEAN area? - Correct Answer-No always assume dirty KDOQI Decrease risk of infection when working with cvc - Correct Answer-cvc care, monitoring and technique rules of blood spinner - Correct Answer-balance the tubes, follow label pericarditis - Correct Answer-Heparin hypertension leads to - Correct Answer-left ventricle hyper LVH Symptoms of hyperkalemia ? - Correct Answer-muscle weakness , heart rate Dry, itchy skin - Correct Answer-hyperfatty lotions peripheral nephropathy - Correct Answer-Foot care, check water temp Affect in CKD-MBD - Correct Answer-calcium, PTH, vitamin D, calcitron how much is Normal kidney function is replaced by HD - Correct Answer-15% DARN stand for - Correct Answer-Disire, ability, reason, need Communication styles - Correct Answer-asking, listening, informing Reflective listening skills - Correct Answer-reword what they say Stages of grief - Correct Answer-Denial, anger, bargaining, depression, acceptance KDQOL 36 - Correct Answer-physical health, effects of KD, symptoms , Mental health Consist fluid over load - Correct Answer-Hypervolemia Disnfect infusion symptoms - Correct Answer-pain in venous needle, tingle around mouth, respiratory Ultrafiltration - Correct Answer-pressure Convection - Correct Answer-solids move in water Diffusion - Correct Answer-make equal Osmosis - Correct Answer-Movement of fluids from low to high concentration kidney excretory functions - Correct Answer-to remove, fluid, urea, electrolytes, to excrete What are the kidney endocrine functions - Correct Answer-renin, calcitriol,erythropoietin Excretory - Correct Answer-hormones, medication, Hectoral, renin, vitamin D Indicators of optimal nutrition status - Correct Answer-Appetite intake, fat stores and muscle mass, stable target weight, albumin Limiting phosphorus - Correct Answer-bone damage , itching When to take binders - Correct Answer-with meals Does food dialyze off - Correct Answer-No hypertension - Correct Answer-headache, dizzy, blurr vision, high bp Hypotension - Correct Answer-low blood pressure, yawning, tachycardia, nausea Muscle cramps - Correct Answer-give saline, stretch hardness water test - Correct Answer-end of day chlorine in blood can cause - Correct Answer-hemolysis Use of tourniquet - Correct Answer-stabilize vessel, vein enlargement