Davita Test

25 July 2022
4.7 (114 reviews)
66 test answers

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question
Why it is important to know what caused your patient's CKD?
answer
So you can acquire about possible problems during data collection and assessment
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Lab draws mistakes that would falsely increase Kt/V
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waiting only 5 seconds
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Factors influencing volume of Kt/V
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Amputation
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BFR of 300, 2 month fistula
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16 guage
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Any abnormalities before treatment
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tell nurse
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True or False: Can you squeeze the cuff to speed up deflation?
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False, No
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When charting saline, what needs to be included?
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how much, why, and follow up response
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What should you do if the target weight exceeds max UFR?
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Turn down so the goal is set proper to not exceed those limits
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If dialysate temp is too hot what is the complication?
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Hemolysis
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What causes a high/positive arterial pressure
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seperation in line, decrease in blood speed
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What causes a venous pressure high alarm
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clot in drip chamber
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What is the most common transmission routh for HAIs
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through contact
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Can we care for both a Hep B patient and a fine patient
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no
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Most common factors for bacterium and infections
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CVC's
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Do you have to wear gloves for weighing a patient
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no
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Can a patient use any sink for hand washign
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yes
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According to CDC ___________ _________ is the most important route for pathogens to transmit
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contact transition
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___________ _____________ is widely recognized as the most important measure to prevent the spread of infection
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hand hygiene
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___________ ___________ bacteria can remain on surface for days with plastic and vinyl being most favorable to their survival
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Viable MSRA
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True or False: Can you double label a tube
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False, no
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Best way to prevent additive specimens
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correct order of draw
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What tubes can be across from each other
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same size and kind
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Signs and symptoms of Hyperkalemia
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muscle weakness and abnormal heart rhythm, possible cardiac arrest
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What is the primary cause for for patients being anemic
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lack of arethial poitent
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What are symptoms of CKD-MBD in addition to bone disease?
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Abnormalities in Ca, PO4, PTH, and vitamin D -soft tissue calcification -bone disease
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What does DARN stand for
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Desire, Ability, Reasons, Need
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What are the three core communication skills to be used within the communication styles?
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Asking, listening, informing
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What does the R in Rule stand fo
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Resist the righting reflex-automatic intervention of a health practicioner who observes a patient doing something determental to their health
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What does summarizing mean
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summary of entire conve -includes the main aspects of what the patient said
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Best way to help change behaviors?
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Inspire the change through support, compassion, and empathy
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Ultrafiltration
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controlled fluid removal by manipulation of hydrostatic pressure - use to pull fluid
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convection
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solutes are dragged across the semipermeable membrance along with fluid
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diffusion
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particles (solutes) move from an area of higher solute concentration to an area of lower solute concentration
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Osmosis
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Fluid moves from lower solute concentration to higher solute concentration -conductivity being too low causes loss of rbc's
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What are the 4 indicators of optimal nutrition status?
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Appropriate appetite and intake, adequate fat stores and muscle mass, stable-desirable target weight, Albumin >=4.0
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Symptoms of elevated K+ or hyperkalemia are
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Muscle weakness and heart arrhythmias
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Is banana eaten during treatment going to be dialyzed off?
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No
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When should you take binders
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With meals (6o min before, and after)
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Symptoms of disinfectant infusion
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pain at the venous needle, respiratory distress, tingling around lips
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What are the three basic principles of self managment
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dealing with the consequences of illness, rather than the disease
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Definition of health literacy
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degree to which indviduals understand basic health info
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Endocrine functions
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renin ertho point secretion, activation of vitamin D
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Educational tip for visual learner
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quiet surroundings
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Educational tip for auditory learners
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word associations or mnemonics
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Correct response to surveyors question
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"I do not know but will find out"
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Surveyor discovers chlorine checks arent done correct
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immediate jeparody
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True or False: All fistulas use tourniquets
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True
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Using painging spray
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we spray until it blanches
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Purpose for selecting Davita's DQI
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DQI are selected to encourage continuous improvement across a broad range of disease management processes
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Poor and incomplete documentation
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attack on care
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Completing and AOR
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5 W'S and facts
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what kind of soaps and lotions are used for itching
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hyper fatty soap and lotion, warm showers, pat skin dry
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neuropathy
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daily foot checks -wear shoes -check temp of bath water
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Nurse's and PCT's evaluate
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effectiveness in heparin as far as blood clotting and bleeding
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ultrafiltration
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controlled fluid removal by manipulation of hydrostatic pressure
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How does hemodialysis normalize body pH
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through diffusion of bicarb through dialysate into blood
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symptoms of elevated potassium or hyperkalemia are
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muscle weakness
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patient exposed to chlorine
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hemolysis
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we do hardness test when
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end of treatment
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10 minutes (RO)
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false negatives
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if you have a final water quality alarm
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bypass
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5 stages of grief
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can get stuck in a stage
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kdqol helps sw to
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find root cause of barriers to patients to successfully adapt to kidney failure and dialysis, compile results, and develop interventions and goals
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patients caretaker is struggling to meet the demands of the patients treatment regime
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notify social worker
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what is true about prudent standard care
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when supervising pct's and others responsibility of nurse to make sure they follow everything
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performing things our way instead of davitas way
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civil liability and adverse patient outcome