CDN Patient Education and Quality of Care in Dialysis

Question 1

Which element of dialysis patient education is most critical for preventing life-threatening complications between sessions?

Accepted Answer

Dietary and fluid restriction adherence

Answer

Understanding dialyzer membrane types

Answer

Knowledge of dialysis machine alarms

Answer

Understanding anticoagulation mechanisms

Question 2

A dialysis nurse notices a patient consistently missing treatments. What is the most appropriate initial intervention?

Accepted Answer

Conduct a non-judgmental assessment to identify barriers to attendance

Answer

Document the absences and wait for the physician to address it

Answer

Inform the patient that missed treatments will result in discharge

Answer

Refer immediately to social work without speaking to the patient

Question 3

What is the primary purpose of including the patient in developing their interdialytic weight gain goal?

Accepted Answer

To improve adherence through shared decision-making

Answer

To reduce nursing documentation burden

Answer

To eliminate the need for physician oversight

Answer

To comply with CMS billing requirements

Question 4

A dialysis patient reports following their diet strictly but their potassium remains elevated. What assessment should the nurse prioritize?

Accepted Answer

Review a detailed 3-day food diary with the patient

Answer

Order a repeat potassium level

Answer

Assume non-compliance and counsel the patient

Answer

Increase dialysis treatment time

Question 5

Which modality of kidney replacement therapy offers the most independence and the ability to work or travel for suitable patients?

Accepted Answer

Home peritoneal dialysis (CAPD or APD)

Answer

In-center hemodialysis three times per week

Answer

Home hemodialysis

Answer

Nocturnal in-center hemodialysis

Question 6

Which psychosocial factor is most strongly associated with mortality in dialysis patients?

Accepted Answer

Depression

Answer

Financial concerns

Answer

Social isolation

Answer

Sleep disorders