DAVITA RISE FINAL EXAM

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DAVITA RISE FINAL EXAM

QUESTIONS AND ANSWER S

GRADED A+ BY EXPERTS

(a) Question: Performing a procedure "your way" rather

than following DaVita's P&Ps

• Carriers no risk of being considered outside the

Ordinary Standard of Care as long as "your way" achieves the same results

• Can lead to civil liability in the event of an adverse

patient outcome

• May be defended in court by demonstrating that your

way is as good as DaVita's P&Ps

• Is accepted practice since there is no one right way to

performing most procedures

Correct answer: b

(b) Question: You listen to your patient's AV graft and

hear a whistling sound

• This could be inactive of an inflow stenosis
• This could be indicative of an outflow stenosis

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• This could be indicative of advanced access thrombosis
• This is a normal sounding bruit

Correct answer: b

Question: Water and dialysate cultures are drawn every

month in the dialysis unit to monitor

Correct answer: bacteria and endotoxins

Question: what problems will cause a more positive (less

negative) pre-pump arterial pressure.

Correct answer: blockage of arterial blood flow from the

vascular access.

Question: what is the most likely reason for a blood leak

detector alarm during recirculation

Correct answer: -air bubbles in the dialysate, dirty sensor-

check dialysate connections, bleach machine

Question: what is an appropriate interventions with an

air/foam detector alarm?

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Correct answer: look at circuit for blood in the system.

DO NOT return blood with air in the system.

Question: what will cause a more negative pre-pump

arterial pressure?

Correct answer: Kinking of the arterial blood line

between the vascular access and arterial monitor

Question: if clotting occurs in a high flux dialyzer, the

transmembrane pressure (TMP) will

Correct answer: decrease

Question: what could be the reasons for a conductivity

alarm on the dialysis machine

Correct answer: when the dialysate is mixed incorrectly

or there is no water acid or bicarb.

Question: the person responsible for implementation,

adherence, and training of the facility specific emergency

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management plan (EMP) and applicable policy and procedures is

Correct answer: Fa or designee

Question: Teammates MUST be able to readily identify

patients who may require additional assistance in the event of an emergency evacuation. This will include patients who need help with or are unable to

Correct answer: both b and c

Question: what is an important action prior to returning a

patients blood using the hand crank in the event of a power failure ?

Correct answer: remove the venous line for the line clamp

Question: Per physician order and based on individual

patient needs, Chronic Kidney Disease Mineral and Bone Disorder (MBD) is treated with

Correct answer: phosphate binders, Vit D (Hectorol), and

Cinacalcet