Certified Dialysis Nurse Flashcards

Because of the necessity to review procedures, a new nurse in the critical care unit works slowly and adds to the workload of other staff members. She is unfamiliar with the CRRT equipment being utilized. The ideal response is to?

Answer: Offer to assist and mentor the new nurse.

Working one-on-one with an experienced nurse can help you develop your abilities and reduce patient risks because mistakes can happen while using equipment that you are new with.

What does the peritoneal equilibration test measure?

Answer: Determine the amount of glucose absorbed from dialysate and the amount of urea and creatinine filtered into the dialysate in a 4-hour dwell.

This is one way to gauge how well peritoneal dialysis is working. Due to their potential for rapid glucose absorption and potential requirement for shorter stay durations, patients with high rate of transport may also benefit from this test's ability to detect them. The patient could require a longer dwell time or more exchanges if not enough urea and creatinine are being filtered.

When a patient receiving hemodialysis exhibits marked eosinophilia, what is the patient more likely to experience?

Answer: Type A (anaphylactic) dialyzer reaction

The cause of eosinophilia in people with renal illness is unclear, however there is some evidence that it is more closely linked to vascular disease than uremia, such as that which can develop with diabetes. According to studies, eosinophil counts decrease during the first quarter of the dialysis session and then sharply rise at the end.

An adolescent patient who had been receiving peritoneal dialysis for three years turns 18 but refuses to continue the treatment because he doesn't think he needs it, even if he is willing to take medicine. In order to live with three pals in an apartment, he has left his parents' house. The ideal reaction is to?

Answer: Provide education and support to the patient.

Legally speaking, a patient who is 18 years old can decide to stop receiving therapy, and if they are of sound mind, there isn't much that can be done to stop them. The best course of action is to educate and assist the patient while expressing respect for their decision to continue taking their drugs because they have consented to do so. The patient should be well informed of the symptoms of uremia because if his condition worsens, he might decide to change his mind.

Which of the following acts allows for prosecution if a dialysis center's management bills for goods and services that were not delivered?

Answer: False Claims Act

The False Claims Act forbids anybody from submitting a false claim to the United States if they are aware that it is fraudulent. In addition, billing for services that were rendered but not necessary, billing for subpar services that were rendered but were delivered, taking or paying bribes, and unbundling of payments for supplies or services that should be grouped are all forbidden.

When added, what causes peritoneal dialysate to become hyperosmolar?

Answer: Glucose

Dialysate typically comprises lactate or bicarbonate, sodium, and chloride. Although there are other osmotic agents, like icodextrin and amino acid solutions, glucose is still the most popular choice, even though patients may absorb 200–300 g of glucose daily. Due to the added calories, this may also promote hyperglycemia and weight gain. It may also raise your risk of hyperlipidemia and cardiovascular disease.

The target weight loss for Ms. Precy's hemodialysis session has been determined by the nurse, but the patient claims that the target is incorrect and is 1 kg too high. The nurse ought to

Answer: Recalculate the target weight loss.

To decide which target is accurate, the nurse should recalculate the desired weight loss with the patient. Because anyone can make mistakes and because patients are frequently extremely knowledgeable about their ailments and needs, patients should be taught to monitor their own care.