Intra-renal causes of Acute Kidney Injury (AKI) - Answer- Sepsis, trauma, anaphylaxis, drugs, acute glomerulus
Knowing what caused your patients' renal
... [Show More] failure - Answer- Is important to figure about possible problems during data collection and assessment
A patient with acute kidney injury (AKI) dialyzes in the out-patient facility. In regards to the patient's target weight, why is being "wet" better than being too dry? - Answer- Being wet helps avoid hypovolemia and hypotensive episodes
The excretory function of the kidneys include - Answer- removes access water, urea, and metabolic waste from the blood.
Acid concentrate replaces the excretory function of normal kidney function by - Answer- Normalizing electrolytes
Ultrafiltration is defined as - Answer- controlled fluid removal by manipulation of hydrostatic pressure
The endocrine functions of the kidneys are - Answer- Renin and erythroprotein secretion; activation of vitamin D
The dialysis prescription, nursing assessments, interventions, and follow ups help us to provide the highest quality treatment for every patient, every time. Despite our efforts, dialysis replaces only ______percent of normal kidney function. - Answer- 15%
You are assisting a patient to step onto the scale by holding the patient's hand. Such a casual contact - Answer- Requires wearing gloves and hand hygiene afterwards
Which statement is true about sinks used for handwashing? - Answer- Handwashing sinks must be dedicated for handwashing purpose only and should remain clean
The most common infectious complication for hemodialysis patients is - Answer- The use of catheters
What is one method surveyors use to verify infection control training and education? - Answer- Documentation of infection control training in teammate's file or transcript
Which infectious disease requires frequent handwashing instead of using alcohol based hand gels? - Answer- Open wounds testing positive for VRE or MRSA
Per the Centers for Disease Control and Prevention (CDC), which is the most important route by which pathogens are transmitted in health-care settings including dialysis centers? - Answer- Contact transmission
V-tags for Centers for Medicare & Medicaid Services (CMS) surveys state specific regulations to be met within a condition such as Infection Control, provide interpretive guidance for each regulation, and cite deficiencies by tag number. How can knowledge of these V-tags affect the practice of patient care providers? - Answer- All of the above
Why is meticulous hand hygiene so important in healthcare? - Answer- It is the single most important intervention in preventing HAIS
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an appropriate patient care assignment? - Answer- Caring for HBsAg positive and Hepatitis B susceptible patients at the same time.
Per the Centers for Disease Control and Prevention (CDC), which is the most common factor contributing to bacterial infections in dialysis patients? - Answer- Contact transmission
Upon completing machine set up and before treatment initiation it is important to verify the prescription and machine settings: - Answer- Both B and C
What should be done to the heparin infusion line if a patient does not have maintenance (hourly) heparin prescribed? - Answer- Clamp and knot the heparin line.
What type of blood/dialysate flow within the dialyzer increases the rate of diffusion providing optimal dialysis for patients? - Answer- Counter- current flow
When is a pre-treatment assessment by the licensed nurse required? Check all that apply: - Answer- Select All options .
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices that the patient's lips are a blue hue. The PCT would: - Answer- Not start treatment, immediately notify the nurse
In those states that do not require a nursing assessment to be completed prior to treatment initiation, the PCT would be required to report abnormal patient data collection findings - Answer- to the nurse prior to treatment initiation
For patients' with Acute Kidney Injury (AKI) which statement is correct? - Answer- A nursing assesment prior to tx initiation is always required
How do you verify that the patient is stable and safe for discharge after the dialysis treatment? - Answer- Evaluate the effectiveness of the treatment by comparing data to pre-dialysis findings
PCT's notify the nurse if there are any unusual findings
The patient is using a central venous catheter (CVC) for dialysis and has a new arteriovenous fistula (AVF) present in his lower arm. What observation/assessment should you perform for the AVF? - Answer- checking for the bruitand thrill every time treatment day
Can you document patient vital signs under another teammate already signed into the computer? - Answer- No, log into the computer system under your credentials and document
Per DaVita policy for a patient that can stand a post treatment blood pressure reading of __________ is considered an abnormal finding and should be reported to a licensed nurse - Answer- both A and B
What are three things you should NOT include in a Risk Event Management (REM) report? - Answer- personal opinions, speculations and vendettas
When documenting patient care, it is important to include all of these except - Answer- Personal opinions, speculations vendettas
Documentation in the medical record - Answer- Is a permanent legal record of the care provided
All documentation on machine setup and pre-treatment patient information - Answer- Must be entered into the computer before the tx is initiated
Post treatment data collection and assessment is performed - Answer- After the tx was terminated
The PCT notes that a patient still has considerable edema in her legs when performing the post-treatment data collection. In addition to informing the nurse, what should the PCT document? - Answer- Document the swelling and that RN was informed.
Which statement is true regarding the "Reasonable and Prudent" Standard of Care? - Answer- When supervising pt care technicians an other non-licensed personnel, it is the resposibility of the licensed nurse to ensure these teammates
Performing a procedure "your way" rather than following the dialysis facility's policies & procedures (P&P) - Answer- Lead to civil liability in the event of an adverse pt outcome
The maximum ultra-filtration (UF) rate should not exceed ______ because it may lead to hypotensive episodes which increases the risk of organ stunning or mortality. - Answer- An UFR >13 ml/hr/Kg
What amount of fluid weight is considered excessive? - Answer- 5% of target weight is considered excessive
The patient's treatment time is 3 hours. He has brought a 10 oz. cup of coffee (300 ml), has an IV antibiotic of 100ml to be administered during treatment, and prime/rinseback of 400ml. The physicians order reads to remove 2.2 liters of fluid. What is the hourly UF removal goal? - Answer- 1000 ml/hr
A patient's target weight is: - Answer- prescribed and determined by physicians order
What are the three steps included in the vascular access assessment? - Answer- look, listen and feel [Show Less]