Download DaVita PCT Final Exam 2024: Comprehensive Review with Solutions and more Exams Health sciences in PDF only on Docsity!
DAVITA PCT FINAL EXAM 2024
WITH 100% CORRECT SOLUTIONS
"The three words DaVita uses in order to easily recall the pre-treatment AVG/AGF access
evaluation are - CORRECT ANSWER Look,Listen,Feel"
"When is post-treatment assessments by the licensed nurse required? - CORRECT ANSWER -If
required by the state -if there were abnormal findings"
"Site rotation/ healing time - CORRECT ANSWER 14 days- 'rope ladder method' rotation of
sites needed to promote healing"
"Flipping the needle /complications - CORRECT ANSWER flipping needles not necessary
because arterial needle has back eye- flipping needles causes coring of access and can lead to increased bleeding and damage to access (scarring)" "A sudden decrease in blood pressure can be an indication that the patient is losing intravascular
fluid too quickly. this change is equal to or great than - CORRECT ANSWER 20mmHg"
"Regarding multi dose medications vials - CORRECT ANSWER - Labeling 7 Expiration: Must be
labeled with the initials of the person opening the vial and the date it was opening the vial and the date it was opened must be discarded within 28 days after opening except when the manufacturer specifies differently such as Epogen at 21 days"
"What are the four Medications that PCTs can administer per Davita P&P - CORRECT ANSWER
Normal Saline Heparin (if allowed per state regulations) lidocaine topical anesthetic spray"
"Regarding single-dose medication vials: - CORRECT ANSWER - Must be used for only one
patient
- Each vial should only be entered once and then discarded
- The same syringe may be used to enter up to two single use vials of the same medication and concentration to constitute the prescribed patient dose"
"What does the RO remove? - CORRECT ANSWER organic and inorganic materials, bacteria,
and endotoxins"
"Chlorine/Chloramine testing - CORRECT ANSWER When: always test while the RO is actively
supplying water: After the RO has operated for at least 15 minutes first thing in the morning , before the first shift of patients and every 4 hours"
"Air/Foam Detector - CORRECT ANSWER Alarm causes air in blood lines
Do not return blood with air in system look at the circuit for blood in the system. DO NOT return blood with air in the system"
"TMP - CORRECT ANSWER Alarm causes wet transducers, change in UF goal, clamped
transducer lines"
"what are the kidneys endocrine functions? - CORRECT ANSWER renin secretion
erythropoietin secretion vitamin d activation"
"How much of normal kidney function is replaced by hemodialysis? - CORRECT ANSWER 15%"
"Left Ventricular Hypertrophy leads to - CORRECT ANSWER ischemic heart disease,
arrhythmia, myocardial infarction and sudden death" *report noncompliance problems related to nonadherence"
"what is important when monitoring weight and BP? - CORRECT ANSWER -keep a little extra
fluid on the patient so it is available to the kidneys when they start filtering/ultra-filtrating on their own."
"AKI patients are at increased risk for which complications? - CORRECT ANSWER Hypovolemia
and hypotension"
"Explain the acceptable hand hygiene technique when caring for a pt with active C diff? -
CORRECT ANSWER wash hand with soap and water"
"What are the appropriate times for documentation? - CORRECT ANSWER Pre-treatment
safety checks prior to start of treatment Pre-treatment data collection assessment prior to treatment Observations during treatment every 30 minutes Post treatment data collection assessment after treatment has ended"
"pre-treatment pt data collection - CORRECT ANSWER completed pre-treatment/assessment;
prior to treatment initiation if required by the state law or within the first hr of tx"
"What is the normal HR range? - CORRECT ANSWER 60-100 beats/minute"
"What is the normal respiratory range? - CORRECT ANSWER 12-20 breathes/minute"
"What is the normal temperature? - CORRECT ANSWER Less than 100 F or 37.8 Celsius or less
than 2 F of baseline"
"Target Weight - CORRECT ANSWER - Is determined by physician order"
"UFR Calculation - CORRECT ANSWER UF Goal / Tx hours = UFR"
"The maximum ultra-filtration rate should no exceed (unless ordered by the physician)? -
CORRECT ANSWER 13mL/kg/hr"
"What is the point where an artery and a vein are connected to create an AVF? - CORRECT
ANSWER Anastomosis"
"Needle gauge and suggested BFR - CORRECT ANSWER 17: 200-
"Cannulation Rules -site prep cannulation rules -cannulation - CORRECT ANSWER Evaluation
of blow flow : Thrill Bruit; look, listen,feel"
"needle insertion - CORRECT ANSWER AVF- 25 degrees
AVG- 45 degrees"
"distance form anastomosis - CORRECT ANSWER 1.5 inches"
"distance between needle tips - CORRECT ANSWER 1.5 inches"
"Use of hemostatic sponges - CORRECT ANSWER require order and must be removed prior to
patient discharge"
"BESTIPS - CORRECT ANSWER bleeding
erosion stenosis thrombosis infection pseudaneurysm steal syndrome"
"Kt/V - CORRECT ANSWER Clearance of urea"
"what factors decrease K? - CORRECT ANSWER Inadequate coagulation ,decreased BFR, poor
priming, not following P&P pt not staying on treatment as prescribed"
"What factors influence t? - CORRECT ANSWER Running prescribed tx time, follow physician
orders- encourage pt to run entire tx. Getting off early will impact time (missing tx also impact tx time)"
"What are the six rights of medication administration? - CORRECT ANSWER Time
Route Amount Medication Patient Documentation" "Spray Topical Anesthetic to each cannulation site for__to__ seconds from a distance of ____ to
____ inches until the skin begins to blanching. - CORRECT ANSWER 4-
3-7 inches"
"muscle cramps - CORRECT ANSWER painful muscle contractions in extremities or abdomen"
"Pyrogen Reaction - CORRECT ANSWER elevated temp - usually occurs 45-75 minutes into tx"
"Air Embolism - CORRECT ANSWER Air bubble enter the blood stream and are carried to a
vessel small enough to be blocked by the air INTERVENTION: stop tx, clamp arterial and venous bloodlines and access lines.DO NOT RETURN THE BLOOD CAUSES: unarmed air detector, empty saline bags,leak or loose connections in circuit, unclamped catheter lumen, under-filling of drip chamber, residual air from poor priming manufacture defect in needle or blood tubing"
"hemolysis - CORRECT ANSWER the rupture or destruction of red blood cells."
"Venous pressure - CORRECT ANSWER High alarm causes: kink in venous line, clotted venous
chamber, infiltrated or poorly positioned venous needle, outflow stenosis, poorly functioning CVC Appropriate intervention: troubleshoot cause Low alarm causes: separation of blood tubing from venous access, decrease in blood flow rate, severely clotted dialyser, normal saline administration Appropriate intervention: troubleshoot cause"
"Low alarm/ more negative causes: - CORRECT ANSWER "
“What are the kidneys excretory functions? - CORRECT ANSWER To normalize electrolytes,
remove wastes, provide fluid and acid base balance"
"What is your role in CKD-MBD Management - CORRECT ANSWER *report symptoms * urge
patients to take meds (home & treatment)
"Give 3 examples of pre-,intra-and post-renal causes of AKI - CORRECT ANSWER Pre:
obstruction, volume depletion, Impaired Cardiac Function- decreased cardiac output
Intra: Ischemic ATN, sepsis, Acute Interstitial Nephritis , septic shock, anaphylaxis ,drugs , goodpasture syndrome, trauma, open heart surgery Post: Obstruction, bladder rupture, pregnancy"
"what are v tags and why are they important? - CORRECT ANSWER They state specific
regulations to be met within a condition such as infection control, providing interpretive guidance for each regulation and citing deficiencies by tag #"
"Which patient care assignment are appropriate when caring for hepatitis B patients? -
CORRECT ANSWER -caring for HBsAg Positive and Hepatitis B immune patients at the same
time -caring for hepatitis B susceptible patients and those in the process of receiving the vaccination at the same time -caring for hepatitis B immune and susceptible patients at the same time" "what is the correct procedure in regards to your hands when you have casual contact with
patient? - CORRECT ANSWER -gloves are not necessary for casual social contact, but hand
hygiene is required after every direct contact with patient and between patient contacts, even if the contact is casual" "why is it important for PCT to know when the water treatment system disinfection was
preformed? - CORRECT ANSWER because the end to end disinfection process will also
introduce the disinfectant solution to the dialysis delivery systems through their water inlet lines" "what is the correct procedure for residual bleach testing after the chemical disinfection of loops
and equipment fluid pathways? - CORRECT ANSWER residual bleach testing should be
preformed after bleach disinfection and prior to equipment use" "What is the difference between data collection and assessment and who is responsible for which
- CORRECT ANSWER Assessment-Nurse Data Collection-PCT -Noting presence of edema -counting the pts HR -respirations rate and rhythm, effort being put into breathing identifying unusual lung sounds"
"What is the normal pre-treatment blood pressure? - CORRECT ANSWER Systolic equal to or
less than 180 mm/Hg or equal to or greater than or equal to 90 mm/HG and Diastolic less than 100mm/HG or greater than or equal to 50mm/Hg"
