Davita Final Exam Module 1 & 2
A common cause of HTN in dialysis pt is? (module 1) - correct answer-fluid overload
A sudden decrease in blood pressure can be an indication that the patient is losing
intravascular fluid too quickly? (module 2) - correct answer-change in bp by 20 mm/hg
ANti-HBcIgM (module 1) - correct answer-hepatitis B Core AB-IGM- history of HBV
Anti-HBs (module 1) - correct answer-Hepatitis B surface antibody- active infection
Define the term AKI (module 1) - correct answer-Acute Kidney failure
Less catastrophic kidney function changes
may dialyze in an outpatient facility until kidney recovers
Describe the four AVF evaluations for maturation based on the KDOQI Rule of 6's (module
2) - correct answer--600 ml flow through access (on doppler)
-0.6 cm in depth under skin
-0.6 cm diameter
6-8 weeks post op for maturation
Describe the teammate's cannulation level based on NFACT: advanced cannulator (module
2) - correct answer-Has completed all the competencies for NFACT training, expert
cannulation skills documented and can determine the rule of 6's
Describe the teammate's cannulation level based on NFACT: beginner cannulator (module 2)
- correct answer-less than 6 months experience or less than 10 successful cannulation
Describe the teammate's cannulation level based on NFACT: intermediate cannulator
(module 2) - correct answer-6 months experience of AVF and 10 successful cannulation
distance from anastamosis and between needle tips (module 2) - correct answer-1.5 inches
Evaluation of blood flow (module 2) - correct answer-thrill/bruit: look/listen/feel
Explain diferrences between AKI & CKD (module 1) - correct answer-Eliminating the cause
of the AKI can lead to a return in kidney function vs
, CKD you cannot eliminate DM, HTN, PKD
Explain the acceptable hand hygiene technique for c-diff? module 1 - correct
answer-handwash with soap and water per policy
Give an example of intra-renal causes of AKI (module 1) - correct answer-Ischemic ATN
sepsis
sirs
septic shock
anaphylaxis drugs
good pasture syndrome
acute glomerulonephritis
trauma
open heart surgery
Give an example of post- renal causes of AKI (module 1) - correct answer-obstruction
oliguric
bladder rupture
pregnancy
Give an example of pre-renal causes of AKI (module 1) - correct answer-obstruction
volume depletion
impaired cardiac function
HBsAg (module 1) - correct answer-hepatitis B surface antigen: tested monthly for
susceptible patient and non-`responders
how can you prevent contributing to lower hemoglobin and blood loss in dialysis patients?
(module 1) - correct answer-Verify epogen dose is correct and administer
Rinse back until venous line is pink tinge
avoid repeat lab draws
How do we replace normal endocrine kidney functions? (module 1) - correct answer-Provide
medication
How do we replace normal excretory kidney functions? (module 1) - correct answer-BY
using acid concentrate to help normalize electrolytes and ultrafiltration to provide fluid
balance
How do you document charting errors? (module 2) - correct answer-Draw a single line
through the entry, date/ signature/ teammate credentials, chart the
correct information.
Follow facility procedure for that system
How do you document late entries in Electronic medical records (EMR)? (module 2) - correct
answer-If documenting within the EMR, the notation will automatically contain your electronic
signature, date and time
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