Download Davita dialysis PCT module 2 Exam Questions And Answers and more Exams Nursing in PDF only on Docsity!
Questions And Answers
The "reasonable and prudent" standard of care for nephrology nursing key concepts: - correct answer ✅1. Care which a nurse would give under same and similar circumstances
- Actions a nurse would do and avoid doing
- follow standard of care
- responsibility that the nurse ensure teammates have standard of care
- skills and knowledge of a nephrology nurse What role does davits P&P play? - correct answer ✅1. provides evidence based guidance
- meets CMS conditions for coverage
- complies with state and federal laws What are the risks of performing activities your way? - correct answer ✅It wont follow P&P and can lead to civil liability and not provide safe evidence based care What are four reasons why we document in the medical record? - correct answer ✅1. proof that care was rendered
Questions And Answers
- provides data continuity
- communication tool
- permanent legal record List six occurrences when to document : - correct answer ✅1. change from baseline assessment
- medications given and pt response
- change in pt conditions
- pt teaching 5 procedure and treatment 6.care plan review and interventions What does SMART communication stand for? - correct answer ✅S: simple M:meaningful A: actual R: read T: teach
Questions And Answers
What are the appropriate times for documentation? - correct answer ✅When it occurs, there is a 15 minute window for data collection pre-tx safety checks should be done.. - correct answer ✅before the pt is hooked up to the machine pre tx patient data collection should be documented ... - correct answer ✅before treatment initiation when should you document observations during tx? - correct answer ✅every 30 minutes, there is a 15 min window to check or if you were there at 30 min but could not put it in post tx data collection should be documented.. - correct answer ✅After tx and blood is returned to patient what are possible consequences of poor or incomplete documentation? - correct answer ✅legal liability, reputational injury, jeopardizes the recipient, career threatening
Questions And Answers
How do you document late entrees? - correct answer ✅always put normal time and date and document as close to that time as possible How do you document charting errors? - correct answer ✅Draw a single line through it and not error entry and date, signature and credentials What is the preferred location for taking a accurate blood pressure?
correct answer ✅Brachial pulse site What will a small BP cuff due to your blood pressure? - correct answer ✅it will be false high BP What will a large BP cuff due to your blood pressure? - correct answer ✅it will be a falsely low bp what is a normal pre- tx blood pressure? - correct answer ✅140/90 or less
Questions And Answers
- What was the result? What are the 3 things you should not include in an REM? - correct answer ✅1. personal opinions
- speculations
- vendettas Target weight is.. - correct answer ✅1. determined by physician order
- target weight should be modified based upon patients ability to tolerate the tx Interdialytic Weight Gain (IDWG) Calculation: - correct answer ✅Pre weight - (minus) Last post weight UF goal calculation - correct answer ✅pre weight - target weight + prime and rinseback + oral intake / infusions
Questions And Answers
UFR calculation - correct answer ✅UF Goal / Tx hours = UFR What are four consequences of sodium loading during dialysis? - correct answer ✅1. increase na in post tx
- increase thirst and fluid intake
- increase fluid weight gain
- hypertension State three ways we can contribute to sodium loading during dialysis: - correct answer ✅1. diffusion from dialysate
- normal saline administration
- dietary intake What are the consequences if a patient is consistently fluid overload? - correct answer ✅hypertension, edema, CHF, SOB, LVH
Questions And Answers
How should catheter patients be positioned? - correct answer ✅pt should be in supine position when providing care to prevent air embolism due to increased pressure in central veins NFACT Beginner Cannulator - correct answer ✅< 6 months of experience and < 10 successful cannulations on established fistula NFACT Intermediate Cannulator - correct answer ✅at least 6 months of AVF cannulation experience and at least 10 successful cannulations on established fistula NFACT Advanced Cannulator - correct answer ✅Completed all competencies on NFACT skills checklist and expert assessment and cannulation skills documented What is the difference between a tunneled and a non tunneled CVC? - correct answer ✅Tunneled CVC make sure the CVC is replaced every 7 days in a hospital setting. non tunneled CVC helps hold the heart in place
Questions And Answers
Definition of newly mature AVF - correct answer ✅Has had its post op exam and meets the rules of 6's Definition of mature AVF - correct answer ✅at prescribed BFR and needle gauge for at least 6 treatments Definition of established AVF - correct answer ✅At prescribed BFR and needle gauge for 2 months without issue recommended needle gauge and max BFR for a new AVF initial cannulation - correct answer ✅17 gauge, max BFR 250 ml/min 17 Needle gauge and suggested BFR of.. - correct answer ✅200-250 ml/ min and AP pressure limit of no more than -
Questions And Answers
cannulation rules for site prep based on the site rotation and healing time - correct answer ✅14 days healing time, never inject where a scab is cannulation rules for site prep based on the needle insertion - correct answer ✅25 degree angle for AVF 45 degree angle for AVG cannulation rules for site prep based on the flipping the needle - correct answer ✅not necessary because arterial needle has a back eye cannulation rules for site prep based on the distance from anastomosis - correct answer ✅2 inches cannulation rules for site prep based on the distance between needles - correct answer ✅1.5 inches in-between
Questions And Answers
needle removal rules for the angle - correct answer ✅25 degree for AVF and 45 degree for AVG needle removal and when to apply pressure - correct answer ✅after needle removal needle removal and use of clamps - correct answer ✅md order required, spring loaded clamps only, one clamp at a time recommended and make sure there is blood flow above and below clamp hemostatic sponges with needle removal - correct answer ✅coagulation agent in gauze and it aids in stopping bleeding. it can only be used for bleeding disorder and must have md order Complication and prevention bestips acronym - correct answer ✅B: bleeding E:erosion S:stenosis T:thrombosis
Questions And Answers
when to not refrigerate blood draw samples? - correct answer ✅follow label training requirements for shipping blood samples - correct answer ✅IATA What is the goal for a single pool (spkt/v) for 3x/week frequency of dialysis treatments? - correct answer ✅> or equal to 1.2 for 3x a week what is the K in kt/v? - correct answer ✅clearance of urea What treatment factors decrease K in kt/v? - correct answer ✅Inadequate coagulation and not enough heparin What treatment factors increase K in kt/v? - correct answer ✅high BFr, Correct DFR, correct dialyzer, correct target weight, correct amputation
Questions And Answers
What is the goal for the urea reduction ratio lab result? - correct answer ✅65% What is "T" in KT/V? - correct answer ✅time of dialysis session What treatment factors influence T in kt/v? - correct answer ✅increased time and increased removal of waste What is "V" in KT/V? - correct answer ✅total volume of the patients body water in which urea is distributed What treatment factors influence V in kt/v? - correct answer ✅A persons height, weight, sex, age and amputations are included in volume of urea distribution throughout the body What is the procedure for post bun lab draw? - correct answer ✅1. lower UF to 50 ml/hr
- lower DFR to 300
