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Davita Final Exam 2022 Review(The best for your exam)
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Davita Final Exam 2022 Review(The bestfor your exam)
Abnormalities in calcium, phosphorus, parathyroid hormone and Vitamin D metabolism
with soft tissue calcification and bone disease. Answer- CKD-MBD (p. 171)
These meds are taken with all meals and snacks Answer- Phosphate binders
S/S of excess sodium intake Answer- Increased thirst & hypertension
Eating foods high in_______causes extreme muscle weakness & abnormal heart
rhythm Answer- Potassium
This protein is essential for growth, maintenance, preventing infection and anemia
Answer- Albumin
Recommended distance between needle tips Answer- 1.5 inches
This best practice prevents the formation of aneurysms & pseudoaneurysms Answer-
Good needle site rotation
The 3 steps in a vascular access assessment Answer- Look, Listen, Feel
This technique causes bleeding at needle sites during dialysis Answer- Flipping or over-
manipulating needles
This cannulator has at least 6 months of AV access cannulation experience and at least
10 successful cannulations on established fistulae Answer- NFACT intermediate
cannulator (p. 315)
Stretching the affected muscle is an appropriate intervention for_______? Answer-
muscle cramps
how to position the patient to treat air embolism Answer- left side trendelenburg
This HD complication is associated w/ increased mortality rate Answer- Hypotension
during treatment
Patients who are skipping treatments are at risk for this Answer- Dialysis Disequilibrium
Syndrome
,Pain at the venous needle site, tingling around the lips and difficulty breathing are
symptoms of_____? Answer- disinfectant infusion
The best way to help patients successfully change behaviors Answer- Inspire change
through support, compassion and empathy
The degree to which individuals understand basic health information is called_____?
Answer- Health Literacy
Dealing with the consequences of illness rather than just the physical disease is a basic
principle of_____? Answer- patient self management
The automatic intervention of a healthcare practitioner who observes a patient doing
something detrimental to his health Answer- Righting Reflex
Use word associations and mnemonics for this type of learner Answer- auditory learner
The most common infection in dialysis patients Answer- Access infection
The most common route by which pathogens are transmitted in healthcare settings
Answer- Contact transmission
The single most important intervention in preventing HAIs in healthcare Answer-
Handwashing
This bacteria can remain on surfaces for days with plastic and vinyl being most
favorable to their survival Answer- Viable MRSA bacteria
This test is performed monthly on patients susceptible for Hepatitis B Answer- HbsAg
The time the RO must be running prior to performing the first chlorine/chloramine test
Answer- 15 minutes
Works only with a sufficient amount of salt pellets Answer- water softener
First response to a Final Water Quality alarm Answer- Place all machines in BYPASS
A complication when patient's blood is exposed to chlorine/chloramines Answer-
Hemolysis
These tanks produce highly dangerous water when exhausted Answer- DI tanks
Being "wet" is better than being too dry in patients with this type of kidney disease
Answer- The target weight in a patient with AKI
The acronym for the 5 rights of medication administration Answer- TRAMP
, Time, Route, Amount, Medication, Patient
Davita policy allows PCTs to administer these 3 medications Answer- 0.9% Sodium
Chloride, Heparin & Lidocaine
The method used to protect against infection by pathogenic microorganisms when
preparing and administering medications Answer- Aseptic technique
Medications containing a preservative must be discarded at this time after opening
Answer- 28 days
The time frame during which single dose medications should be prepared and
administered per DaVita P&P Answer- 4 hours
The most common methods used to prevent clotting while the blood is in the
extracorporeal circuit Answer- Anticoagulation with Heparin
Waiting time after administration of initial heparin loading dose prior to initiation of HD
Answer- 3-5 minutes
Clotting in the dialyzer causes this change in venous pressure Answer- A decrease
This acid concentrate contains a small amount of anticoagulant & can be used for
patients in whom Heparin is contraindicated Answer- Citrasate or CitraPure
A frequent cause of prolonged bleeding
post-dialysis Answer- Outflow stenosis
Method to ascertain needle is not in blood vessel when administering intradermal
lidocaine Answer- Pulling back on the plunger
topical skin anesthetic patients apply at home Answer- EMLA cream
Method prior to cannulation to prevent access infections when a patient has applied
topical EMLA cream at home Answer- Wiping off EMLA cream completely
The appropriate time to clean the VA cannulation sites when using a topical anesthetic
spray Answer- Before applying the spray
The sign that numbing has taken effect and it is time to stop spraying topical anesthetic
onto VA cannulation sites Answer- When there is blanching of the skin
Stimulates bone marrow to produce RBCs Answer- Epogen
This med supports the formation of RBCs Answer- Venofer (IV Iron)
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