Download Davita PD Exam Review Questions And Answers and more Exams Nursing in PDF only on Docsity!
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What does DQI stand for? - correct answer ✅DaVita Quality Index What is the purpose of DQI? - correct answer ✅It is a score/report Create a focus on patient outcomes that will affect patient health How do current outcomes affect our patients? example: peritonitis trends going up, implementing monthly infection quiz to decrease What does CMT stand for? - correct answer ✅Clinical Management Tool What is the purpose of CMT? - correct answer ✅Creates a patient flowsheet that highlights labs, treatments, etc. Used in core team meetings to identify focus/unstable patients. How often do core team meetings occur and what tool do we use? - correct answer ✅Weekly & clinical management tool (CMT)
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Quick score - correct answer ✅reimbursement Bundled medications - correct answer ✅Medicaid, some private insurance companies will pay. Covers following:
- Access mngmt: heparin
- Access pain: lidocaine/prilocaine EMLA
- Anemia: Epogen
- Antibiotics PO: Cephalexin, Cefdinir, Sulfamethaxozole/Trimethoprim, Ciprofloxacin
- Antibiotics topical: gentamicin, mupriocin, bactroban, anasept
- Fluid mngmt: Furosemide, Bumetanide, Torsemide (any duiretic w/IDE), ethacrynic acid MBD: Cincalcet, Calcitriol, Hectorol, Zemplar Welldyne - correct answer ✅dispensing pharmacy
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What does QAPI implement? - correct answer ✅- facility health records (data from hard chart, POA's, etc...)
- CMS regulated and required
- Goal is to provide safe care through improvement of prev. outcomes Target hgb of Epogen is... - correct answer ✅less than or equal to 11 DaVita lab reports wbc as... - correct answer ✅TNC or total nucleated cells
- enables lab to report unclassified cells in addition to the standard wbcs (neutro, eos, baso, meso) DaVita lab reports neutrophils as... - correct answer ✅PMN or polymorphonuclear Peritonitis can be diagnosed in two of the following ways (there are 3 total) -
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correct answer ✅1) Patient reports abdominal pain/effluent cloudy
- Dialysis effluent WBC/TNC > 100 or > 0.1 109/L after a minimum 2 hr dwell with > 50% neutrophils/PMN
- Positive dialysis effluent culture TNC or WBC count should be obtained after how long? - correct answer ✅4 hour dwell anything less than/more than could be inaccurate because the cell count will vary with length of dwell time The PMN or neutrophil count is more accurate because - correct answer ✅> 50 % of PMN's is strong evidence of peritonitis, even if the absolute TNC count is <100 uL Peri cap - correct answer ✅PD cath repair kit When training a patient, always allow for how long of a break? - correct answer ✅2 hours
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treatment, laboratories including adequacy calculations and physician orders V tag purpose? - correct answer ✅- CMS regulations and rationales
- assisting in P&P development The nurses responsible for home dialysis training must be... - correct answer ✅12 as a RN and 3 as a modality in dialysis Ca - correct answer ✅blood clotting, muscle and bone formation Albumin > 4 can cause... - correct answer ✅third spacing (side note: as Albumin decreases, serum Ca or total Ca decreases since Albumin is the main protein Ca binds to; does bind to other anions/proteins. Remember: Total Ca= protein bound Ca and free Ca but we cannot measure protein bound Ca b/c it is too large so
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we guess the free Ca based on Albumin hence formula Ca + 0.8 (4 - serum albumin) = ionized/corrected/free Ca) Adynamic bone disease - correct answer ✅intact PTH < 150 pg/ml; post parathyroid patients do not apply SHAPES protocol does - correct answer ✅Epogen dosing Process development - correct answer ✅break large tasks down, investigate and share BDP and know what works in one area won't work in all Hungry bone syndrome - correct answer ✅low Ca after prolonged time. The sudden withdrawal of PTH stops osteoblastic bone reabsorption leading to increase bone uptake of Ca, PO4 and Mag Patients with low albumin may have edema w/o - correct answer ✅fluid overload
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to early 5. Provides pre dialysis education such as infection prevention, diet, different tx modalities. etc. How many types of APD? - correct answer ✅4 types: CCPD, intermittent PD, nightly and day IRONWORKS protocol - correct answer ✅measures iron levels; different from shapes d/t differ start when Ferritin <500 and TSAT <30% (new patient we would administer a loading dose of Venofer 200 mg for 5 days) Patients receiving antibiotics should not receive what? - correct answer ✅Iron Kt/v requires 4 things, what are they? - correct answer ✅height, wt., fill volume and amputation documentation Seizures not r/t hypotension
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Emergency procedures on ICHD pct exam (may or may not be on PD but just in case) - correct answer ✅- maintain/est. patient airway
- O2 at 2-4 L/min
- D/c dialysis and do not return blood but maintain IV access
- Monitor VS while protecting patient from injury
- Draw Na and ABG's if available Angina (abnormal for patient) Emergency procedures on ICHD pct exam (may or may not be on PD but just in case) - correct answer ✅- If incenter, stop UF
- O2 at 2-4 L/min
- NTG gr. 1/150 sublingual if systolic BP > 130
- draw K if accompanied by abnormal heart rhythm
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increases secretion of gastric causes - correct answer ✅Acid production and stomach ulcers To keep serum PO4 w/in range, the dialysis patient should - correct answer ✅Take PO4 binders
