Exam (elaborations)
PCT Final Exam (1).
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Exam of 7 pages for the course NUR 266 at NUR 266 (PCT Final Exam (1).)
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PCT Final ExamIn those states that do not require a nursing assessment to be completed prior to treatment
initiation, the PCT would be required to report abnormal patient data collection findings (Y/N,
when) - CORRECT ANSWER-Yes
If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an
appropriate patient care assignment? - CORRECT ANSWER-Which patient care assignments are
appropriate when caring for Hepatitis B patients?
• 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 could be the reason(s) for a conductivity alarm on the dialysis machine? - CORRECT
ANSWER-- When the dialysate is mixed incorrectly or there is no water, acid or bicarb (NOTE:
dialysate can be mixed improperly and machine still goes into conductivity because sodium is the
primary ion contributing to conductivity)
- Debris or precipitate in the lines/filter
- Equipment failure or machine needing calibration
A PCT greets a patient and the patient reports feeling short of breath. The PCT notices that the
patient's lips have a blue hue. The PCT would: - CORRECT ANSWER-What is the role of the PCT
prior to treatment initiation?
• Complete data collection and PCT must notify the RN if there are any abnormal findings prior to
initiation of tx
Water treatment is needed in the dialysis setting to: - CORRECT ANSWER-What are the two
reasons for water treatment?
• Prevent equipment damage
• Patient safety
Documentation in the medical record - CORRECT ANSWER-What are the four reasons why we
document in the medical record?
• Proof care was rendered
• Provides data continuity
• Communication tool
• Permanent legal record
What problems will cause a more positive (less negative) pre-pump arterial pressure - CORRECT
ANSWER-Vasospasm, inappropriate blood flow
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is
the best time to take them? - CORRECT ANSWER-Usually phosphate binders are taken within 5
to 10 minutes before or immediately after meals and snacks.
The Urea Reduction Ratio calculates - CORRECT ANSWER-Urea reduction ratio (URR) is a
measure of the proportionate reduction in blood urea nitrogen over the course of dialysis
, Mathematically, the URR is closely related to Kt/V, and the two quantities can be derived from one
another with more or less precision, depending on the amount of additional information available
about a given dialysis session.
V-tags cite deficiencies, provide interpretive guidance, and provide a condition that must be met
for each regulation. How can knowledge of V-tags affect the practice of patient care providers? -
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 #
The Clinical Pyramid includes: - CORRECT ANSWER-• The Fundamentals: Immunizations, Iron,
Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.
• Complex Programs: Fluid Management, Infection Management, Diabetes Management, Med
Management, CVCManagement, Palliative / EOL Care, Infection Surveillance, Transition of Care,
CKDEducation, Depression, Missed Treatments, etc.• Measures of Effectiveness
• Mortality, Hospitalization /Re-hospitalization, Patient Experience of Care
• What Matters Most
• Our patient's health-related Quality of Life
Which is the primary device for purifying the water used in dialysis? - CORRECT
ANSWER-Reverse Osmosis machine (CWP)
The blood flow rate is reduced to 100 ml/min for _______ before obtaining post dialysis blood
specimen for Kt/V. - CORRECT ANSWER-Procedure for Post BUN labdraw
• Turn off UFR or decrease it to 50 ml/hr
• Decrease DFR to 300 or put in bypass
• Decrease BFR to 100 ml/min
• Wait 15 secs for all access types and draw post
All documentation on machine setup and pre-treatment patient information - CORRECT
ANSWER-Pre-treatment patient data collectiono Done pre-treatment /assessment: prior to
treatment initiation if required by state law orwithin the first hour of dialysis treatment
Post treatment data collection and assessment is performed - CORRECT ANSWER-Post
treatment data collection/assessment
o Must be done after treatment is complete - some of the things needed post tx:
o Documentation of clearance of dialyzer after rinse back.
o Blood pressure
o Heart rate
o Temperature
o Respiratory rate
o Weight
Poor wound healing is directly related to - CORRECT ANSWER-poorly controlled diabetes
mellitus, neuropathy, peripheral vascular disease, chronic venous insufficiency, and aging.
Which statement is true regarding the administration of Normal Saline? - CORRECT
ANSWER-PCT can administer it- When patient experiencing hypotension: dialysis patient care
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