Davita Final exam Module 3&4 Latest Update 2024 160 Questions and Verified Correct Answers Guaranteed Success Already Passed
air embolism causes (module 3) - CORRECT ANSWER: unarmed air detector, empty
saline bags, leak or loose connection in circuit, unclamped catheter lumen, under-filling of drip chambers, residual air from poor priming, manufacturer defect in needle or blood tubing
air embolism definition (module 3) - CORRECT ANSWER: air bubbles enter the blood stream and are carried to a vessel small enough to be blocked by the air
Air embolism interventions (module 3) - CORRECT ANSWER: stop treatment
clamp arterial and venous blood lines
DO NOT RETURN BLOOD
place patient in Trendelenburg and turn on left side contact EMS and MD administer oxygen per physician order observe for s/s of respiratory and cardiac arrest disconnect patients clamped, attach syringes and draw blood as ordered draw samples for cultures and endotoxins per P&P
Air embolism prevention (module 3) - CORRECT ANSWER: verify all connections are
secure at all times
air embolism symptoms (module 3) - CORRECT ANSWER: -visible air in venous line
*-chest tightness or pain* *-dyspnea and coughing* -cyanosis -restlessness and confusion -visual disturbances *-convulsions/seizures* -cardiac arrest
Air/Foam Detector (module 3) - CORRECT ANSWER: Alarm causes: air in venous line
Appropriate intervention: inspect line, clamp lines if air is going to recirculate in bloodlines until you remove all of air
Aluminum in water used fir dialysis causes (Module 3) - CORRECT ANSWER: Anemia
bone disease nausea vomiting neurologic deterioration
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Anaphylaxis causes (module 3) - CORRECT ANSWER: Ethylene Oxide (ETO) allergy,
reaction to germicide left in the blood lines, medication allergy
Anaphylaxis definition (module 3) - CORRECT ANSWER: rapid, severe immune
response to an allergen
anaphylaxis interventions (module 3) - CORRECT ANSWER: discontinue suspected
therapy stop the blood pump discontinue treatment and DO NOT RETURN THE BLOOD
Anaphylaxis prevention (module 3) - CORRECT ANSWER: ensure vancomycin allergy
is clearly marked in chart always check for allergies before administering meds
Arterial Pressure: high alarm/more neg causes (module 3) - CORRECT ANSWER: arterial needle clotter poorly positioned kinking of the arterial blood tubing hypotension intervention: check needle placement, ensure lines are not kinked check ta[e tp ensure the are not kinked or applied to tightly
At what time are medications containing a preservative discarded?(Module 3) -
CORRECT ANSWER: 28 days (exept when manufacturer specifies differently ex
epogen)
Blood Leak Detector (module 3) - CORRECT ANSWER: Alarm causes: air bubbles in dialysate, dirty sensor
Appropriate Intervention: check dialysate connections, bleach machine
blood loss causes (module 3) - CORRECT ANSWER: -dislodgement of needle
-bleeding at the access site -disconnection of lines -clotted unable to return blood
blood loss definition (module 3) - CORRECT ANSWER: loss of blood
blood loss intervention and prevention (module 3) - CORRECT ANSWER: -maintain
visible access -securely tape needles -stop blood pump & clamp lines
- apply pressure
-administer o2 educate patient about the importance of leaving access uncovered 2 / 3
blood loss symptoms (module 3) - CORRECT ANSWER: blood on floor, chair or
clothing blood leak detector alarm venous pressure alarm if needle dislodgment or line separation, circuit clotting TPM alarm visible clots in drip chamber
Can someone experience them more than once? (module 4) - CORRECT ANSWER:
yes
Cardiac arrest causes (module 3) - CORRECT ANSWER: lethal side effect of some
dialysis problems - electrolyte imbalances, severe hypotension, underlying cardiac disease/myocardial infarction, cardiac tamponade, air embolism, hemolysis, large blood loss, anaphylactic reaction
cardiac arrest intervention (module 3) - CORRECT ANSWER: confirm if patient has a DNR Establish Unresponsiveness call for help Initiate CPR move the patient to the floor if possible return blood if possible maintain patency of needles or CVC ports with NS.
cardiac arrest prevention (module 3) - CORRECT ANSWER: close monitoring of
patient on dialysis
Causes of hypotension? (Module 3) - CORRECT ANSWER: Rapid or inappropriate
fluid loss antihypertensive drugs low blood volume, food ingestion unstable cardiovascular condition
Chest pain causes (module 3) - CORRECT ANSWER: CAD
anemia hypotension anxiety
Chest pain intervention (module 3) - CORRECT ANSWER: decrease BFR to 150
ml/min if hypotensive, restore bp as ordered decrease UFR monitor VS document event, orders, patient response notify nephrologist report to primary nurse
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