{"id":110242,"date":"2023-07-26T11:38:57","date_gmt":"2023-07-26T11:38:57","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=110242"},"modified":"2023-07-26T11:39:00","modified_gmt":"2023-07-26T11:39:00","slug":"davita-pct-final-exam-questions-and-answers-2022-2023-verified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/26\/davita-pct-final-exam-questions-and-answers-2022-2023-verified-answers\/","title":{"rendered":"Davita PCT Final Exam Questions and Answers (2022\/2023) (Verified Answers)"},"content":{"rendered":"\n<p>Which of the following statements is not an underlying assumption of self management<br>People with complex chronic kidney conditions such ass ESRD have more difficulties with successful self management<\/p>\n\n\n\n<p>Which of the following is a basic principle of self management<br>Dealing with the consequences of the illness rather than just the physical disease its self<\/p>\n\n\n\n<p>Andragogy takes into account<br>That adults desire to take responsibility for what they learn<\/p>\n\n\n\n<p>In order to detect problems as early as possible a thorough evaluation of a new fistula four to six weeks after creation should be considered mandatory<br>true<\/p>\n\n\n\n<p>Vessel mapping should be performed on all new patients when possible<br>true<\/p>\n\n\n\n<p>The goal of vascular mapping is to assure that every new patient receives a fistula if possible<br>true<\/p>\n\n\n\n<p>A juxta-anastomotic stenosis is considered an &#8220;outflow&#8221; stenosis (inhibits the blood from flowing out of the access vessel).<br>inflow<\/p>\n\n\n\n<p>The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%.<br>false 84-98%<\/p>\n\n\n\n<p>Venous stenosis is the most common cause of late fistula loss.<br>true<\/p>\n\n\n\n<p>Persistent swelling of the access arm and prolonged bleeding after needle withdrawal are signs of an inflow stenosis (inability for blood to enter the access)<br>true<\/p>\n\n\n\n<p>A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula.<br>true<\/p>\n\n\n\n<p>A catheter that is not able to deliver at least 400 ml\/minute should be evaluated for dysfunction.<br>true<\/p>\n\n\n\n<p>The most serious catheter related complication is infection<br>true<\/p>\n\n\n\n<p>3 processes that make up the water treatment system<br>pre treatment,<br>water-purification,<br>distribution<\/p>\n\n\n\n<p>3 roles of davitas pnp play<br>a standard of care best demonstrated practice prima facieevidence<\/p>\n\n\n\n<p>4 ways to prevent contributing to excess blood loss<br>eveluate effectiveness of of heparin<br>rinse back blood till lines are pink<br>hold acess site forappropriate time<br>dont waste blood in redraws<\/p>\n\n\n\n<p>acronym used when communicating<br>SMART<br>simple<br>meaningful<br>actual<br>read<br>teach<\/p>\n\n\n\n<p>adequacy of dialysis is represented by<br>kt\/v<\/p>\n\n\n\n<p>antibiotic that should be administered over a period of at least 60 min<br>vancomycin<\/p>\n\n\n\n<p>what factors influence k<br>bvp<\/p>\n\n\n\n<p>what happens when arterial pressure becomes greater than -260<br>hemolysis<\/p>\n\n\n\n<p>what happens if total Cl is collected before the minimum time the RO should be operating<br>rsults could be falsely negative<\/p>\n\n\n\n<p>what happens to the TMP if clotting occurs in the dialyzer<br>it decrease<\/p>\n\n\n\n<p>what happens when bleach an parecitc acid are mixed<br>a toxic cl gas is produced<\/p>\n\n\n\n<p>wjat is a good adequacy goal for 3 times per week HD<br>KTV of atleast 1.2<br>URR of at least 65%<\/p>\n\n\n\n<p>what is KDQOL 36 used<br>to asses physical health, mental health effects in dialy living symptoms burden of kidney disease<\/p>\n\n\n\n<p>what not to include in AOR<br>personal opinion<br>specu;ation<br>vendettas<\/p>\n\n\n\n<p>what shou;d you do if pt needs a bathroom break<br>return blood and recirculate machine<\/p>\n\n\n\n<p>when is a pyrogenic reaction most likely to occur<br>during the first 45-75 mins<\/p>\n\n\n\n<p>when is risidual bleach testing done<br>after bleach dis infection and prior to use<\/p>\n\n\n\n<p>when to chart in medical record<br>change in baseline assesment or pt condition<br>procedure or treatment<br>medication administration pt teaching<br>care plan<\/p>\n\n\n\n<p>when to give hep b booster<br>when HBsAB drops 10<\/p>\n\n\n\n<p>when to use directing communication<br>when trainning pts<\/p>\n\n\n\n<p>when to use folowing communication<br>when pt need time to process or digest something<\/p>\n\n\n\n<p>when to use guiding communication<br>when creating an action plan<\/p>\n\n\n\n<p>what bacteria requires hand washing instead of alcohol rub<br>c diff<\/p>\n\n\n\n<p>which direction should arterial needle be placed<br>anti or retro who cares<\/p>\n\n\n\n<p>which direction should the venous needle be placed<br>antegrade with flow of blood<\/p>\n\n\n\n<p>who educate pt on treatment modality<br>neph, SW and CN<\/p>\n\n\n\n<p>to evaluate if pt is stable before discharge<br>nurse must complete post treatment assessment<\/p>\n\n\n\n<p>pre treatment required by nurse?<br>if abnormal findings<br>for AKI pt pretreatment always required<\/p>\n\n\n\n<p>if a pt with acute kidney injury dialyses in the out pt facility one task of the pt care TM is to monnitor blood pressure and weight closely why?<br>HYPOvolemia and HYPO tensives episode can cause RENAL ISCHEMIA and can further damage the kidneys<\/p>\n\n\n\n<p>CKD can have its origin pre renal, intra renal, or post renal. which of the following conditions is an intrs renal cause of CKD<br>hypertension<\/p>\n\n\n\n<p>pt with cardiac disease are ten times more likely to experience intradailytic hypotension<br>LVH<\/p>\n\n\n\n<p>offering a pt this is an example of sodium loading<br>broth<\/p>\n\n\n\n<p>what is an intra cellular or intersistial symptom of fluid overload<br>edema<\/p>\n\n\n\n<p>this electrolyte is often elevated in pts who experience severe itching<br>phosphorus<\/p>\n\n\n\n<p>the kidneys help regulated BP with this<br>renin<\/p>\n\n\n\n<p>this hormone stimulates the bone marrow to make red blood cells<br>erythopoieten<\/p>\n\n\n\n<p>this electrolyte aids in clotting, nerve impluse transmission, muscle contractions and bone formation<br>calcium<\/p>\n\n\n\n<p>restless leg syndrome is a symptom of which complications in CRF<br>peripheral neuropathy<\/p>\n\n\n\n<p>what is classified as a bone disease associated with renal failure<br>CKD-MBD<\/p>\n\n\n\n<p>the kidneys convert Vitamin D into which hormone<br>calcitrol<\/p>\n\n\n\n<p>these procedures can cause significant blood loss in our patients<br>access<\/p>\n\n\n\n<p>maintaining normal serum calcium levels is the primary function of this hormone<br>PTH<\/p>\n\n\n\n<p>this disease is the leading cause of death in patients at all stages of CKD<br>cardiovascular<\/p>\n\n\n\n<p>the transport mechanism when particles move from an area of higher solute concetration to an area of lower solute concentration is called<br>diffusion<\/p>\n\n\n\n<p>during dialysis the movent of bicarb from the dialysate into the blood<br>helps normalize ph<\/p>\n\n\n\n<p>the kineys excretory function include<br>nomalizing electrolytes<\/p>\n\n\n\n<p>chlorine\/chloramine testing can be found in<br>the sample port from the primary carbon filter<\/p>\n\n\n\n<p>hardness testing removes<br>calcium and magnesium<\/p>\n\n\n\n<p>excess calcium and magnesium in water used for dialysis<br>muscle weakness<\/p>\n\n\n\n<p>what removes chlorine and chloramines<br>carbon tanks<\/p>\n\n\n\n<p>arterial pressure more positive<br>seperation of blood tubing from arterial access<\/p>\n\n\n\n<p>venous pressure more positive<br>clotting in drip chamber<\/p>\n\n\n\n<p>venous pressure more negative<br>severely clotted dialyzer<\/p>\n\n\n\n<p>role davitas pnp play<br>best demonstrated practice<br>standard of care<\/p>\n\n\n\n<p>purpose of DQI<br>encourage continuous improvement accross a broad range of disease management<\/p>\n\n\n\n<p>consequences of fluid overload<br>increased mortality<\/p>\n\n\n\n<p>consequences of hypovolemia during treatment<br>ischemia and damage to vital organs<\/p>\n\n\n\n<p>KDQOL 36<br>identifies barriers<\/p>\n\n\n\n<p>hyperkalemia<br>muscle weakness abmormal HR<\/p>\n\n\n\n<p>4 key elements affect CKD MBD<br>soft tissue calcification<\/p>\n\n\n\n<p>ultrafiltration<br>fluid forced through semipermeable membrane<\/p>\n\n\n\n<p>covection<br>slolutes and solvent move<\/p>\n\n\n\n<p>vtags<br>state specific regulations to be met with a condition such as infection providing interpretive guidance for each regulation<\/p>\n\n\n\n<p>when is the pretreatment assessment by the licensed nurse required<br>when it is mandated by the state<br>when the pct performing a data collection notices abnormal findings<br>when the patient reports unusual symptoms to the nurse prior treatment initiation<br>when the nurse observes unusual behaviors in a patient entering the treatment floor<br>ALL OF THE ABOVE<\/p>\n\n\n\n<p>data collection<br>heart rate:72<\/p>\n\n\n\n<p>fluid overload and hypertension lead to LVH this means<br>hypotensive episodes are more likely to occur during treatment<\/p>\n\n\n\n<p>your role in ckd-mbd management includes<br>reminding the patient who is eating a snack during dialysis to take his phosphate binders<\/p>\n\n\n\n<p>your role in anemia management<br>rinsing back as much as other patients blood as you can at the termination of each treatment<\/p>\n\n\n\n<p>What is important when monitoring weight and BP for acute patients?<br>keep patients wet to avoid hypotensive episodes<\/p>\n\n\n\n<p>What do you need to consider in regards to acute patents vascular access?<br>Usually have a CVC<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>follow policy and procedure to prevent infections<\/li>\n<\/ul>\n\n\n\n<p>Why is it important to know what caused your patient&#8217;s CKD?<br>to inquire about possible problems during data collection and assessments<\/p>\n\n\n\n<p>Kt\/V: What is K?<br>clearance of urea<\/p>\n\n\n\n<p>What treatment factors decrease K?<br>not waiting 3-5 minutes after giving heparin with treatment initiation to prevent clotting<\/p>\n\n\n\n<p>What factors influence V (volume)?<br>sex, age, weight, height, amputations<\/p>\n\n\n\n<p>Needle gauge and suggested BFR<br>17: 200-250<br>16: 250-350<br>15: 350-450<br>14: &gt;450<\/p>\n\n\n\n<p>What do you do if a patient wants to get off early?<br>educate and document, still draw lab on habitual patients, MUST NOTIFY NURSE<\/p>\n\n\n\n<p>Lab draw mistakes that would falsely increase Kt\/V<br>not waiting the full 15 seconds to draw the BUN<\/p>\n\n\n\n<p>What is the role of the PCT prior to treatment initiation?<br>DATA COLLECTION<\/p>\n\n\n\n<p>Squeezing the BP cuff can damage the machine: T\/F<br>True<\/p>\n\n\n\n<p>4 reasons we document in the medical record<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>proof that care was rendered<\/li>\n\n\n\n<li>provides data continuity and planning of patient care<\/li>\n\n\n\n<li>permanent legal record<\/li>\n\n\n\n<li>communication tool<\/li>\n<\/ol>\n\n\n\n<p>Pre-treatment patient data collection\/assessment<br>Data collection: before initiation<br>Assessment: 30 minutes into treatment<\/p>\n\n\n\n<p>Post treatment data collection\/assessments<br>after treatment<br>-NOT DURING RINSEBACK<\/p>\n\n\n\n<p>What are possible consequences of poor or incomplete documentation<br>attack on your care<\/p>\n\n\n\n<p>What are the six items included in charting administered medications?<br>REASON FOR ADMINISTERING<\/p>\n\n\n\n<p>What are the 5 W&#8217;s to be used when completing an AOR<br>who should report an AOR<br>what type of incident<br>when should it be reported<br>where should they be reported<br>why<\/p>\n\n\n\n<p>What are the four consequences of sodium loading during dialysis?<br>Thirsty<br>Increase Fluid Intake<br>Increased intradialytic weight gain<br>Increased ultrafiltration rate<\/p>\n\n\n\n<p>What is the purpose of UF profiling?<br>fit to the patient to prevent crashing and allow for vascular refill<\/p>\n\n\n\n<p>Why do we measure the pH in the dialysate<br>to verify acid-base balance is within an acceptable range<\/p>\n\n\n\n<p>Conductivity and pH alarm causes<br>no concentrate<br>improper bicarb<br>calcium or magnesium precipitate<br>line of filter occlusion from debris<br>improper calibration<\/p>\n\n\n\n<p>Temperature alarm causes<br>lower temperature, increases BP<br>hemolysis occurs at 42 degrees calcium which releases potassium<\/p>\n\n\n\n<p>Power<br>the appropriate intervention is to remove venous line from air detector clamp before starting hand crank<\/p>\n\n\n\n<p>Arterial Pressure High alarm causes<br>separation of tubing<\/p>\n\n\n\n<p>Venous pressure high alarm causes<br>kink in tubing<br>infiltration<br>clotting in the venous drip chamber<\/p>\n\n\n\n<p>Davita Quality Index<br>the purpose of selecting the component measure for DQI is to encourage continuous improvement across a broad range of disease management processes<\/p>\n\n\n\n<p>DQI success is achieved by<br>-managing individual patients first and allowing scores to follow<br>-knowing each team members role and improving DQI scores<br>-using the CQI (continuous quality improvement) process to help identify trends and make improvements<br>(answer all of the above)<\/p>\n\n\n\n<p>Importance of P&amp;P<br>when supervising non-licensed, assistive personnel, it is the responsibility of the licensed nurse to ensure these teammates also meet the standard of care<\/p>\n\n\n\n<p>What are the risks of doing it your way<br>it can lead to civil liability<\/p>\n\n\n\n<p>What makes dialysis patients more susceptible to HAIs?<br>they have weakened immune systems and prolonged access to blood<\/p>\n\n\n\n<p>Why are dialysis patients at increased risk for acquiring a HAI at the facility?<br>CONTACT TRANSMISSION<\/p>\n\n\n\n<p>what is the most common transmission route for HAIs?<br>contact transmission<\/p>\n\n\n\n<p>What is the most important intervention you can do to prevent HAIs?<br>Hand washing<\/p>\n\n\n\n<p>What is the most common infectious complication in hemodialysis patients?<br>Per the CDC, the most common factor contributing to bacteremia is CVC<\/p>\n\n\n\n<p>What germ causes the most common infections in hemodialysis patients?<br>MRSA<\/p>\n\n\n\n<p>Why is wearing gloves so important?<br>Decreases risk of hand contamination<\/p>\n\n\n\n<p>Who can use sinks designated for hand washing?<br>clean sinks must be dedicated for hand washing only<\/p>\n\n\n\n<p>What is the correct procedure in regards to your hands when you have casual contact with a patient?<br>don&#8217;t need to have gloves but must perform hand hygiene before caring for patients<\/p>\n\n\n\n<p>Successful Lab draws<br>know the 20 tips<br>-follow the order of the lan draws to prevent specimens from being contaminated with other tube additives<br>-double labeling tubes prohibits processing<\/p>\n\n\n\n<p>rules for spinning samples<br>only spin tubes of same kind, size, and fill level and should be placed opposite of each other<\/p>\n\n\n\n<p>hyperkalemia<br>potassium above 6.5<br>extreme muscle weakness<br>cardiac arrest<\/p>\n\n\n\n<p>What is the primary cause patients are anemic?<br>decreased production of Erythropoietin<\/p>\n\n\n\n<p>How can you print contributing to blood loss?<br>adequate heparinization<\/p>\n\n\n\n<p>What is pericarditis?<br>inflammation of sac around the heart<\/p>\n\n\n\n<p>What is included in pericarditis treatment?<br>RESTRICTION OF HEPARIN<br>more\/adequate dialysis<\/p>\n\n\n\n<p>What to use for Dry, itchy skin<br>hyper fatted soaps and lotions<\/p>\n\n\n\n<p>Peripheral neuropathy<br>educate patient about good shoes, look at feet, don&#8217;t go barefoot<br>-can&#8217;t feel sores<\/p>\n\n\n\n<p>What are the four key elements affected in CKD-MBD?<br>calcium<br>phosphorus<br>parathyroid hormone<br>calcitriol (vitamin D)<\/p>\n\n\n\n<p>What are symptoms of CKD-MBD in addition to bone disease?<br>severe itching, muscle weakness<br>CALCIFICATION OF SOFT TISSUE<\/p>\n\n\n\n<p>What is your role in CKD-MBD management?<br>encourage patients to take binders with their food!<br>talks to patients and listen to them!<\/p>\n\n\n\n<p>What does the acronym DARN stand for?<br>Desire to change<br>Ability to understand<br>Reason to change<br>Need<\/p>\n\n\n\n<p>What&#8217;s the best way to help patients successfully change behaviors?<br>Inspire behavioral change through support, compassion and empathy<\/p>\n\n\n\n<p>When should the communication style &#8220;Directing&#8221; be used?<br>when training to perform procedures<\/p>\n\n\n\n<p>What are the three core communication skills to be used within the communication styles?<br>Asking Listening Informing<\/p>\n\n\n\n<p>Righting Reflex<br>Intervention of a healthcare practitioner who observes a patient doing something detrimental to their health<\/p>\n\n\n\n<p>Summarizing<br>includes the main aspects of what was said during the conversation<\/p>\n\n\n\n<p>The 5 stages of grief<br>Denial<br>Anger<br>Bargaining<br>Depression<br>Acceptance<\/p>\n\n\n\n<p>Is there an order to work through the five stages of grief?<br>No<\/p>\n\n\n\n<p>what is KDQOL 36<br>an assessment tool for the social worker to identify barriers<br>-the social worker compiles the results and develops goals with the patient<\/p>\n\n\n\n<p>Who is the social worker available for?<br>Caretakers struggling to meet demands of the patient&#8217;s treatment regime<\/p>\n\n\n\n<p>Ultrafiltration<br>(only fluid)<br>controlled fluid removal by manipulation of hydrostatic pressure<\/p>\n\n\n\n<p>Convection<br>(solutes and fluid)<br>solutes are dragged across the semipermeable membrane along with fluid<\/p>\n\n\n\n<p>Diffusion<br>(solutes)<br>particles move from an area of high concentration to an area of low concentration<\/p>\n\n\n\n<p>Osmosis<br>(fluid only)<br>fluid moves from lower solute concentration to higher solute concentration<\/p>\n\n\n\n<p>What are the kidney&#8217;s endocrine functions?<br>blood pressure control (Renin)<br>anemia (erythropoiesis)<br>activation of vitamin D3 and Ca Regulation (calcitriol)<\/p>\n\n\n\n<p>What is the function of bicarbonate?<br>acts as a buffer<br>-diffusion of the bicarb from the dialysate to the blood helps normalize body pH<\/p>\n\n\n\n<p>The 4 indicators of optimal nutrition status<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>protein (albumin) 4.0 or higher<\/li>\n\n\n\n<li>stable\/desirable target weight<\/li>\n\n\n\n<li>appropriate appetite<\/li>\n\n\n\n<li>adequate fat stores\/muscle mass<\/li>\n<\/ol>\n\n\n\n<p>importance of limiting phosphorous\/when to take binders<br>tingling<br>bone damage<br>take with meal<\/p>\n\n\n\n<p>Consequences of organ stunning<br>hypotension can have many adverse affects including impaired tissue profusion of vital organs and organ injury<\/p>\n\n\n\n<p>Muscles cramps<br>caused by rapid fluid removal and electrolyte shifts<\/p>\n\n\n\n<p>intervention for muscle cramps<br>DON&#8217;T MASSAGE in case of blood clot<br>-stretch the affected muscle and turn off UF<\/p>\n\n\n\n<p>Fever and chills<br>any temp greater than 100 degrees or over 2 degrees of baseline WITH symptoms<\/p>\n\n\n\n<p>pyrogen reaction<br>endotoxins in the water<\/p>\n\n\n\n<p>seizures intervention<br>discontinue treatment if seizure is severe or patient does not respond to treatment<\/p>\n\n\n\n<p>Dialysis disequilibrium syndrome prevention<br>don&#8217;t skip treatments<br>-have to go to hospital to get dialyzed if missed more than two treatments in a row<\/p>\n\n\n\n<p>Symptoms of disinfectant infusion<br>PAIN AT THE VENOUS NEEDLE<br>-respiratory distress<br>tingling around the lips<\/p>\n\n\n\n<p>intervention for chest pain\/angina<br>mild: stop pulling fluid: turn UF off<br>turn down BFR to 200 so we don&#8217;t clot<\/p>\n\n\n\n<p>Air embolism intervention<br>STOP PUMP<br>lay patient on left side trendelenburg<\/p>\n\n\n\n<p>what are the three basic principles of self-management<br>Dealing with the consequences of illness rather than just the disease itself<\/p>\n\n\n\n<p>what is the definition of health literacy?<br>the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions<\/p>\n\n\n\n<p>What are the educational tips for visual learners?<br>select quiet surroundings<\/p>\n\n\n\n<p>What are the educational tips for auditory learners?<br>word associations or mnemonics<\/p>\n\n\n\n<p>what are the educational tips for tactile learners?<br>short lectures with hands on activities and frequent short breaks<\/p>\n\n\n\n<p>at what time are medications containing a preservative discarded?<br>28 days<\/p>\n\n\n\n<p>how long do we wait after administering the heparin bolus prior to treatment initiation?<br>3-5 minutes<\/p>\n\n\n\n<p>Explain a reason for Immediate jeopardy (IJ)<br>insufficient or inaccurate chlorine checks<\/p>\n\n\n\n<p>how to talk to a surveyor or what to do when a surveyor observes you or asks questions<br>I don&#8217;t know the answer, but I will find out<\/p>\n\n\n\n<p>Examples of what not to say to a surveyor<br>I was never told that<br>nobody ever told me<\/p>\n\n\n\n<p>explain the four AVF evaluations for maturation based on the KDOQI rule of 6&#8217;s<br>rules of 6&#8217;s proved guidelines for a FISTULA<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>6-8 weeks post op<br>-blood flow of 600<br>-diameter of 0.6 cm<br>-can&#8217;t be deeper than 0.6 cm below the skin<\/li>\n<\/ul>\n\n\n\n<p>Water hammer pulse, whistling sound<br>outflow stenosis = whistling<br>inflow stenosis = hammer sound<\/p>\n\n\n\n<p>BESTIPS Complications and Prevention: Thrombosis<br>if using hemostatic sponges, we must remove before sending patient home and cover with sterile gauze<\/p>\n\n\n\n<p>Cannulation site prep<br>use a tourniquet during cannulation on ALL AV fistula unless documentation for otherwise<\/p>\n\n\n\n<p>Site rotation\/ healing time<br>14 days\/2 weeks<\/p>\n\n\n\n<p>chlorine in water used for hemodialysis causes<br>hemolysis which releases potassium<\/p>\n\n\n\n<p>Chlorine\/chloramine testing<br>can&#8217;t be more than 4 hours apart<\/p>\n\n\n\n<p>What is removed in hardness testing?<br>calcium and magnesium<\/p>\n\n\n\n<p>When do we test for hardness?<br>at the end of each day<\/p>\n\n\n\n<p>response to final water quality alarm<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>put all machines in bypass mode<\/li>\n\n\n\n<li>notify charge nurse, FA, boomed, Medical director<\/li>\n\n\n\n<li>if water quality cannot be restored terminate all treatments<\/li>\n<\/ol>\n\n\n\n<p>How do you know numbing has taken effect?<br>blanching of skin<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Which of the following statements is not an underlying assumption of self managementPeople with complex chronic kidney conditions such ass ESRD have more difficulties with successful self management Which of the following is a basic principle of self managementDealing with the consequences of the illness rather than just the physical disease its self Andragogy takes 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