Download PCT DaVita (RN)Final Exam Questions and Answers (Verified Answers) and more Exams Nursing in PDF only on Docsity!
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When dialyzing a patient with acute kidney injury, one task of the patient care teammates is to monitor blood pressure and weight closely. Why is it
important? - correct answer ✅hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys.
CKD can have its origin pre-renal , intra-renalm or post renal. Which of the
following conditions is an intra-renal cause of CKD - correct answer ✅HTN.
Knowing what caused your patient's CKD - correct answer ✅is important because the underlying disease could cause health complications that can impact the dialysis treatment.
When a PCT documents the extent of a patient's edema, for example as +3 -
correct answer ✅the PCT is preforming an assessment which is not allowed legally.
When a patient has an irregular heartbeat, - correct answer ✅the automatic BP reading may not be accurate.
Which of the following is a data collection - correct answer ✅HR 72.
at what time should the post treatment data collection be completed -
correct answer ✅after the treatment has been completed.
available HPB surveillance test is a HBsAb of 8. What are the machine 3 disinfection requirements after dialyzing this patient? - correct answer
✅the machine must be heat disinfected at the end of each day.
What is the most common factor contributing to bacteremia in dialysis
patients? - correct answer ✅use of catheters for HD.
which infectious disease requires frequent hand washing instead of using
alcohol-based hand gels - correct answer ✅active clostridioides difficile infection.
What precautions must be used when handling lab specimens? - correct
answer ✅universal precautions.
waiting only five seconds between lowering the blood pump speed and
drawing the post treatment blood sample could - correct answer ✅cause the post treatment BUN reading to be falsely low (wait 15 seconds)
which may cause a decrease in the hemoglobin of a patient with ESRD -
correct answer ✅infection/inflammation.
fluid overload and HTN lead to LVH, this means - correct answer
✅hypotensive episodes are more likely to occur during the dialysis treatment.
your role in anemia management includes - correct answer ✅rinsing back as much of the patient's blood as you can at the termination of each treatment
the licensed nurse has delegated a specific task to a PCT, but the PCT gets called away before performing this task. Can the PCT asek another PCT to
take over? - correct answer ✅no, a task delegated by the licensed nurse to a non-licenced teammate cannot be re-delegated by this teammate
the licensed nurse delegated a task to the PCT, Nicole, but Nicole has not performed this task during the last 2.5 months. What is Nicole's responsibility in the delegation communication process? - correct answer
✅Nicole is to inform the nurse that she performed the task only infrequently
what is the nurse's responsibility in the delegation supervision process? -
correct answer ✅to determine the level of supervision needed and to monitor the NAP's performance of the task accordingly
the transport mechanism when particles move from an area of higher solute concentration to an area of lower solute concentration is called - correct answer ✅diffusion
during dialysis, the movement of bicarb from the dialysate into the blood -
correct answer ✅helps normalize body pH
the kidneys excretory functions include - correct answer ✅normalizing electrolytes
what distance should be observed between needle tips and away from each other when cannulating an internal vascular access? - correct answer ✅1. inches
the nephrologist has ordered 16 gauge needles and a 400 BFR for your patient. You - correct answer ✅ask the nephrologist to order a 15 gauge needles for the ordered BFR
your patient prefers two places on her AVG to insert the needles because they hurt a lot less than when you cannulate different sites. You tell the
patient - correct answer ✅inserting the needles into the same small area can over time damage your graft
what is the appropriate intervals for total chlorine testing? - correct answer
✅prior to the first patient shift and within every 4 hours
what is acceptable limit for total chlorine in the water leaving the carbon filter - correct answer ✅0.1 or less
which is the primary device for purifying the water used in dialysis - correct answer ✅the RO
Why is thirst control and limiting interdialytic weight gains a shared responsibilyt between the healthcare team and the patient? - correct
answer ✅Caregivers can contribute to Na loading during dialysis causing an increased thirst and fluid intake between treatments
Preventing hypotensive episodes during dialysis treatment is important
because they are associated with - correct answer ✅a higher mortality rate
The mortality risk for patient who experience two or more episodes of
intradialytic hypotension per week increases to - correct answer ✅70%
which condition may impair a patient's increase in pulse rate as a response
to hypovoilemia - correct answer ✅autonomic neuropathy
a patient's protein status is affected by nutritional and non-nutritional factors. what can you do to prevent a drop in your patient's albumin? - correct answer ✅prevent HAIs
Calciphylaxis (soft tissue calcification) is a consequence of which out or range
labs? - correct answer ✅Ca, PTH, Phosphorus
How do phosphate binders work? - correct answer ✅they prevent the phosphorus in food from being absorbed when taken with meals
The method to protect against infection by pathogenic microorganisms when preparing and administering medications is called - correct answer
✅aseptic technique
Why must you wait 3-5 minutes after administering the initial heparin bolus
before initiating treatment? - correct answer ✅takes 3-5 minutes for heparin to become systemic
When do you take PO4 binders? - correct answer ✅with meals and snacks
#1 thing we do - correct answer ✅patient safety
Conductivity acceptable rrange - correct answer ✅13-15.5 and +/- 0.4 of the machine
pH of dialysate - correct answer ✅6.9-7.
blood pH - correct answer ✅7.35-7.
When is the RO checked? - correct answer ✅before the first patient and every 4 hours afterwards
Bicarb lasts for how long once opened? - correct answer ✅24 hours
2 common routes for CVC infection - correct answer ✅into cath via contact of the insertion site and via cath lumen- scrub the hub for 60 seconds each limb
Most common cause for CKD in USA - correct answer ✅DM
What is the percent of kidney function lost before going on dialysis - correct
answer ✅75%
HD replaces what percent of kidney function - correct answer ✅15%
What is the direct result of intravascular fluid overload - correct answer
✅HTN
Patient with cardiac disease are 10x more likely to develop intra HTN -
correct answer ✅LVH
Offer a patient of this is an example of oral sodium loading - correct answer
✅broth
this electrolyte is often elevated with patients with severe itching - correct answer ✅phosphorus
kidneys regulate BO by realeasing - correct answer ✅renin
✅anemia 15
what is classified as bone disease associated with renal failure - correct answer ✅CKD-MBD
the vitamin converts vit d into which hormone - correct answer ✅Calictrol
these procedures can causes significant blood loss in our patients - correct answer ✅access procedures
maintaining a normal serum Ca levels are the primary function of this hormone - correct answer ✅PTH
this disease is the leading cause of death at all stages in CKD - correct answer ✅cardiac
this skin color is associated with the decrease circulation of RBC from secondary anemia - correct answer ✅pale
it is important to use this team approach when dealing with psychological patients - correct answer ✅multidisplinary
What is the reason for a meerCAT audit - correct answer ✅to prepare for survey readiness
one thing to improve meerCAT score - correct answer ✅store look-a-like, sound-a-like products appropriately
Why is the order of lab draw important - correct answer ✅samples in subsequent tubes are not contaminated with additives from the previous
what do you want the level of albumin to be - correct answer ✅>
if drawing labs during dialysis how do you label them? - correct answer
✅DRAWING DURING DIALYSIS
BUN lab draws post dialysis - correct answer ✅turn off or decrease UR to 50
decrease DFR to 300 or place machine in bypass
reduce BFR to 100
wait 15 seconds for AVG/AVF and CVC (WAIT 15 seconds!!)
Obtain from A Line
Why is drawing the correct amount for blood cultures improtant - correct answer ✅too much blood may create a false positive
When do we test Hep B - correct answer ✅need to have it every 28 days 19 drawn for negative and susceptible, if negative and immune every 365 days. if unknown draw patient
