Which of the following statements is not an underlying assumption of self management
People with complex chronic kidney conditions such ass ESRD have
... [Show More] more difficulties with successful self management
Which of the following is a basic principle of self management
Dealing with the consequences of the illness rather than just the physical disease its self
Andragogy takes into account
That adults desire to take responsibility for what they learn
In order to detect problems as early as possible a thorough evaluation of a new fistula four to six weeks after creation should be considered mandatory
true
Vessel mapping should be performed on all new patients when possible
true
The goal of vascular mapping is to assure that every new patient receives a fistula if possible
true
A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of the access vessel).
inflow
The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%.
false 84-98%
Venous stenosis is the most common cause of late fistula loss.
true
Persistent swelling of the access arm and prolonged bleeding after needle withdrawal are signs of an inflow stenosis (inability for blood to enter the access)
true
A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula.
true
A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction.
true
The most serious catheter related complication is infection
true
3 processes that make up the water treatment system
pre treatment,
water-purification,
distribution
3 roles of davitas pnp play
a standard of care best demonstrated practice prima facieevidence
4 ways to prevent contributing to excess blood loss
eveluate effectiveness of of heparin
rinse back blood till lines are pink
hold acess site forappropriate time
dont waste blood in redraws
acronym used when communicating
SMART
simple
meaningful
actual
read
teach
adequacy of dialysis is represented by
kt/v
antibiotic that should be administered over a period of at least 60 min
vancomycin
what factors influence k
bvp
what happens when arterial pressure becomes greater than -260
hemolysis
what happens if total Cl is collected before the minimum time the RO should be operating
rsults could be falsely negative
what happens to the TMP if clotting occurs in the dialyzer
it decrease
what happens when bleach an parecitc acid are mixed
a toxic cl gas is produced
wjat is a good adequacy goal for 3 times per week HD
KTV of atleast 1.2
URR of at least 65%
what is KDQOL 36 used
to asses physical health, mental health effects in dialy living symptoms burden of kidney disease
what not to include in AOR
personal opinion
specu;ation
vendettas
what shou;d you do if pt needs a bathroom break
return blood and recirculate machine
when is a pyrogenic reaction most likely to occur
during the first 45-75 mins
when is risidual bleach testing done
after bleach dis infection and prior to use
when to chart in medical record
change in baseline assesment or pt condition
procedure or treatment
medication administration pt teaching
care plan
when to give hep b booster
when HBsAB drops 10
when to use directing communication
when trainning pts
when to use folowing communication
when pt need time to process or digest something
when to use guiding communication
when creating an action plan
what bacteria requires hand washing instead of alcohol rub
c diff
which direction should arterial needle be placed
anti or retro who cares
which direction should the venous needle be placed
antegrade with flow of blood
who educate pt on treatment modality
neph, SW and CN
to evaluate if pt is stable before discharge
nurse must complete post treatment assessment
pre treatment required by nurse?
if abnormal findings
for AKI pt pretreatment always required
if a pt with acute kidney injury dialyses in the out pt facility one task of the pt care TM is to monnitor blood pressure and weight closely why?
HYPOvolemia and HYPO tensives episode can cause RENAL ISCHEMIA and can further damage the kidneys
CKD can have its origin pre renal, intra renal, or post renal. which of the following conditions is an intrs renal cause of CKD
hypertension
pt with cardiac disease are ten times more likely to experience intradailytic hypotension
LVH
offering a pt this is an example of sodium loading
broth
what is an intra cellular or intersistial symptom of fluid overload
edema
this electrolyte is often elevated in pts who experience severe itching
phosphorus [Show Less]