Module 2 Flashcards

1
Q

What are the key concepts related to “Reasonable & Prudent” Care?

A

(Answer)

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2
Q

Who established the Standards of Care for Nephrology Nursing and for what purpose?

A

(Answer)

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3
Q

What are three considerations when delegating nursing care activities?

A

(Answer)

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4
Q

What role does DaVita’s P&P play?

A

(Answer)

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5
Q

What are the risks of performing activities your way?

A

(Answer)

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6
Q

What are the 4 reasons why we document in the medical record?

A

1.
2.
3.
4.

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7
Q

List 6 occurrences when to document:

A
1. 
2.
3.
4.
5.
6.
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8
Q

What does SMART communication stand for?

A
S:
M:
A:
R:
T:
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9
Q

What is the difference between data collection and assessment- Who does what?

A

a) Assessment-Nurse

b) Data Collection - PCT

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10
Q

What is the role of the licensed nurse prior to treatment initiation?

A

(Answer)

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11
Q

When is a pre-treatment assessment by the licensed nurse required for a CKD hemodialysis patient?

A

(Answer)

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12
Q

When is a pre-treatment assessment by the licensed nurse required for an acute kidney injury (AKI) hemodialysis patient?

A

(Answer)

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13
Q

What is the role of the PCT prior to treatment initiation?

A

(Answer)

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14
Q

What are the appropriate times for documentation?

A

Pre-treatment safety checks:
Pre-treatment patient data collection:
Observations during treatment:
Post Treatment data collection/assessment:

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15
Q

What are possible consequences of poor or incomplete documentation?

A

(Answer)

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16
Q

How do you document late entries?

A

(Answer)

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17
Q

How do you document charting errors?

A

(Answer)

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18
Q

What is the preferred location for taking an accurate blood pressure?

A

(Answer)

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19
Q

What BP reading error can be caused by an incorrect cuff size?

A

Cuff Too Small:

Cuff Too Large:

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20
Q

What is a normal pre-treatment blood pressure?

A

(Answer)

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21
Q

What is the normal heart rate range?

A

(Answer)

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22
Q

What is the normal respiratory range?

A

(Answer)

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23
Q

What is a normal temperature?

A

(Answer)

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24
Q

The 3 words DaVita uses in order to easily recall the pre-treatment AVF/AVG access evaluation are:

A

“Look, Listen, Feel”

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25
Q

When is pot-treatment assessment by the licensed nurse required?

A

(Answer)

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26
Q

What are the 5 “W”s to be used when completing an REM?

A
W:
W:
W:
W:
W:
27
Q

What are 3 things you should you include in an REM?

A
  1. 3.
28
Q

Target weight:

A
  • Is determined by physician order
  • TW is the physician prescribed weight post-dialysis that the patient can safely and reasonably achieve
  • TW should be modified by the physician based on patient’s tolerance, ongoing signs of fluid overload, and changes in fluid status.
  • Must be adjusted in a timely manner so that the physician’s most recent order is taken into account for each treatment. You may not adjust the TW retroactively.
29
Q

Interdialytic Weight Gain (IDWG) Calculation:

A
  • Pre weight - (minus) Last post weight
30
Q

UF Goal Calculation:

A
Pre-Weight:
- Target weight
\+ NS prime & rinse back
\+ Oral intake, infusions
= UF Goal
31
Q

UF Calculation:

A

UF Goal / TxHours = UFR

32
Q

What are 4 consequences of sodium loading during dialysis?

A

a)
b)
c)
d)

33
Q

State 3 ways we can contribute to sodium loading during dialysis.

A

a)
b)
c)

34
Q

What are the consequences if a patient is consistently fluid overloaded (hypervolemia)?

A

(Answer)

35
Q

What are the consequences and risks of hypovolemia during the treatment?

A

(Answer)

36
Q

What is the difference between and AVF and an AVG?

A

(Answer)

37
Q

What is the connection point called of the artery and vein for the creation of an AVF?

A

(Answer)

38
Q

Describe the 4 AVF evaluations for maturation based on the KDOQI Rule of 6’s

A

a)
b)
c)
d)

39
Q

Describe the teammate’s cannulation level based on NFACT:

A

Beginner Cannulator:
Intermediate Cannulator:
Advanced Cannulator:

40
Q

What is the difference between a tunneled and a non-tunneled CVC?

A

(Answer)

41
Q

Considerations for cannulation:

a) Definition of newly mature AVF

A

(Answer)

42
Q

Considerations for cannulation:

b) Definition of a mature AVF

A

(Answer)

43
Q

Considerations for cannulation:

b) Definition of established AVF

A

(Answer)

44
Q

Considerations for cannulation:

d) Recommended needle gauge and max BFR for new AVF initial cannulation

A

(Answer)

45
Q

Considerations for cannulation:

e) Needle gauge and suggested BFR (Note: Always follow physician prescription)

A

17:
16:
15:
14:

46
Q

Considerations for cannulation:

f) use of One needle

A

(Answer)

47
Q

Considerations for cannulation:

g) Use of tourniquet

A

(Answer)

48
Q

Cannulation Rules for Site prep and Cannulation:

A

a) Evaluation of blood flow:
b) Site rotation/healing time:
c) Needle insertion:
d) Flipping the needle/complications
e) Distance from anastomosis
f) Distance between needle tips

49
Q

Needle Removal:

A

a) Angle:
b) When to apply pressure:
c) Use of clamps:
d) Use of hemostatic sponges:

50
Q

BEST TIPS (Complications and Prevention)

A

B:
E:
S:
T:

T:
I:
P:
S:

51
Q

Laboratory Specimen Collection, Handling and Testing Information:

  1. PPE Requirements:
A

(Answer)

52
Q

Laboratory Specimen Collection, Handling and Testing Information:

  1. Successful lab draws:
A

(Answer)

53
Q

Laboratory Specimen Collection, Handling and Testing Information:

  1. Processing:
A

a) Clotting time:
b) Rule for spinning samples:
c) When to refrigerate:
d) When not to refrigerate:
e) Training requirements for shipping:

54
Q

What is the goal for Single Pool (spKt/V) for 3x/week frequency of dialysis treatments?

A

(Answer)

55
Q

ABOUT Kt/V: What is ‘K’ ?

A

(Answer)

56
Q

ABOUT Kt/V: What treatment factors decrease K?

A

(Answer)

57
Q

ABOUT Kt/V: What treatment factors increase K?

A

(Answer)

58
Q

ABOUT Kt/V: What is ‘t’ ?

A

(Answer)

59
Q

ABOUT Kt/V: What factors influence ‘t’ ?

A

(Answer)

60
Q

ABOUT Kt/V: What factors influence ‘V’ ?

A

(Answer)

61
Q

Procedure for Post BUN lad draw:

A

(Answer)

62
Q

Lab draw mistakes that would falsely increase Kt/V

A

(Answer)

63
Q

Lab draw mistakes that would falsely decrease Kt/V?

A

(Answer)