REVIEW QUESTIONS True False 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. The Initial Nutrition Assessment/Plan of Care must be completed within 30 days of admission or 13 treatments, whichever is later. At a minimum, the DaVita Dietitian is required to document on the nutrition progress of each hemodialysis and peritoneal dialysis patient quarterly. DaVita's optimal goal for albumin is 4.0 or higher A low albumin is associated with increased morbidity and mortality in dialysis patients. Interdisciplinary patient assessments and plans of care must be completed monthly for unstable patients. The DaVita minimum goal for nPCR is 1.5. A low albumin is always due to poor protein intake in patients on hemodialysis Dialysis patients are at an increased risk for protein/kcal malnutrition. The most serious side effects of chronic hyperphosphatemia are bone disease and itching. When a patient exhibits hypokalemia and hypophosphatemia, the DaVita Dietitian should evaluate adequacy of dietary intake. On a monthly basis, the DaVita Dietitian's responsibilities include meeting with each hemodialysis and/or peritoneal dialysis patient to review bloodwork, nutrition-related medications, diet, areas where patient is doing well, and to set goals with patient regarding what needs to improve. When reviewing bloodwork with patients, it is not necessary to discuss adequacy of dialysis and factors that contribute to Kt/V. When reviewing bloodwork with patients, each result should be discussed, including those results in acceptable range. Diet and nutrition-related medications should be discussed as well. When evaluating patient bloodwork, the DaVita Dietitian typically reviews the following results: albumin, nPCR, potassium, Kt/V, corrected calcium, phosphorus, PTH, Hb, iron saturation, ferritin and, if available, bloodwork related to lipids and glucose control. It is the DaVita Dietitian's responsibility to help each patient understand why albumin, phosphorus, PTH, Kt/V and other bloodwork should be maintained in an acceptable range. ©2013 DaVita HealthCare Partners Inc. All rights reserved. Page 39 of 58

REVIEW QUESTIONS True False 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. The Initial Nutrition Assessment/Plan of Care must be completed within 30 days of admission or 13 treatments, whichever is later. At a minimum, the DaVita Dietitian is required to document on the nutrition progress of each hemodialysis and peritoneal dialysis patient quarterly. DaVita's optimal goal for albumin is 4.0 or higher A low albumin is associated with increased morbidity and mortality in dialysis patients. Interdisciplinary patient assessments and plans of care must be completed monthly for unstable patients. The DaVita minimum goal for nPCR is 1.5. A low albumin is always due to poor protein intake in patients on hemodialysis Dialysis patients are at an increased risk for protein/kcal malnutrition. The most serious side effects of chronic hyperphosphatemia are bone disease and itching. When a patient exhibits hypokalemia and hypophosphatemia, the DaVita Dietitian should evaluate adequacy of dietary intake. On a monthly basis, the DaVita Dietitian's responsibilities include meeting with each hemodialysis and/or peritoneal dialysis patient to review bloodwork, nutrition-related medications, diet, areas where patient is doing well, and to set goals with patient regarding what needs to improve. When reviewing bloodwork with patients, it is not necessary to discuss adequacy of dialysis and factors that contribute to Kt/V. When reviewing bloodwork with patients, each result should be discussed, including those results in acceptable range. Diet and nutrition-related medications should be discussed as well. When evaluating patient bloodwork, the DaVita Dietitian typically reviews the following results: albumin, nPCR, potassium, Kt/V, corrected calcium, phosphorus, PTH, Hb, iron saturation, ferritin and, if available, bloodwork related to lipids and glucose control. It is the DaVita Dietitian's responsibility to help each patient understand why albumin, phosphorus, PTH, Kt/V and other bloodwork should be maintained in an acceptable range. ©2013 DaVita HealthCare Partners Inc. All rights reserved. Page 39 of 58

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter11: Cpt Surgery I

Section: Chapter Questions

Problem 15MC

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