Davita Rise Final Exam Latest Update Actual Exam

pg. 1 Davita Rise Final Exam Latest Update 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

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pg. 2 Water/Dialysate culture results - Correct Answer - • Acceptable level: below 50 cfu/ml

• Action level: 50-99 cfu/ml

• Unacceptable level: 100 cfu/ml or >

Water endotoxin testing results - Correct Answer - • Acceptable level: below 0.12 EU/ml

• Action level: 0.12 to < 0.25 EU/ml

• Unacceptable level: 0.25 EU or >

Dialysate endotoxin testing results - Correct Answer - • Acceptable level: <0.25 EU/ml

• Action level: 0.25 to < 0.50 EU/ml

• Unacceptable level: 0.50 EU/ml or >

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)

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pg. 3 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

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