FRESENIUS EXAM 2024 QUESTIONS AND ANSWERS CORRECTLY ASWERED What is a pre -dialysis evaluation? - CORRECT ANSWER 1) Review of the patient's health. 2) Compares current health status to previous evaluations. Why is pre -dialysis evaluations needed? - CORRECT ANSWER 1) To determine if the patient is stable to receive treatment. 2) Determine if there has been a change in health status. 3) Provides a baseline date to plan for a safe treatment. Describe Universal precautions - CORRECT ANSWER Steps we take with all patient contact to decrease the risk of spreading infection to protect our patient and ourselves. What are the 3 C's? - CORRECT ANSWER 1) Condition (objective) 2) Complaints (subjective) 3) Changes (objective) What should you look for with: Ambulation - CORRECT ANSWER Gait changes, use of assistive devices, ROM, energy level. FRESENIUS EXAM 2024 QUESTIONS AND ANSWERS CORRECTLY ASWERED What should you look for with: Mental status and mood - CORRECT ANSWER A&O x 3, any changes in usual mood (Alert and orientation) Person, place, time (situation) A&Ox4 What should you look for with: Skin - CORRECT ANSWER Color, integrity, temperature, edema What should you look for with: Vital signs - CORRECT ANSWER Weight, BP, HR, respiration's, temperature What is EDW? Estimated Dry weight - CORRECT ANSWER A patient's wt with excess fluid removed When is a RN required to assess a pre -treatment wt? - CORRECT ANSWER If the patient pre -treatment wt is >4 kg above EDW. What does a blood pressure measure? - CORRECT ANSWER Measurement of the pressure of force of blood against the walls of the arteries. FRESENIUS EXAM 2024 QUESTIONS AND ANSWERS CORRECTLY ASWERED When do you report a blood pressure to the RN? - CORRECT ANSWER SBP <100 or > 180 DBP> 100 When do you report a heart rate to a RN? - CORRECT ANSWER New onset of HR <60 or >100 or a irregular beat When do you report a respiratory rate to the Rn? - CORRECT ANSWER A respiratory rate of > 24 breaths per minute True or False Does a dialysis patient maintain an average temperature? - CORRECT ANSWER False! When do you report a temperature to the RN? - CORRECT ANSWER Temperature < 96 & > or = to 100 degrees Name some important complaints you need to report to the RN? (10) - CORRECT ANSWER 1) Dizziness 2) Chest pain 3) SOB (shortness of breath) 4) Any new complaints FRESENIUS EXAM 2024 QUESTIONS AND ANSWERS CORRECTLY ASWERED 5) A visit to the ER or a hospital stay 6) Weakness 7) Numbness or tinglinng 8) Fever or chills 9) Depression/sadness 10) Pain What changes do you report to the RN? - CORRECT ANSWER New medications or visit to ER or hospital stay. What are the ABC's of the patients assessment? - CORRECT ANSWER A) Access B) Breathing C) Cardiac What to look for with: Access - CORRECT ANSWER Bruises, redness, drainage, swelling, bruit, thrill, pain, bleeding What to look for with: Breathing - CORRECT ANSWER Rate, rhythm, quality, SOB, breath sounds What to look for with: Cardiac - CORRECT ANSWER Skin color and turgor, heart sounds, pulse rate, rhythm & quality, edema, pain, SOB
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