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Real PCT davita final exam questions
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Real PCT davita final exam questions
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REAL PCT DAVITA FINAL EXAMQUESTIONS WITH CORRECT ANSWERS
jWhich of the following statements is not an underlying assumption of self management - People with
complex chronic kidney conditions such ass ESRD have more difficulties with successful self management
Which of the following is a basic principle of self management - Dealing with the consequences of the
illness rather than just the physical disease its self
Andragogy takes into account - That adults desire to take responsibility for what they learn
In order to detect problems as early as possible a thorough evaluation of a new fistula four to six weeks
after creation should be considered mandatory - true
Vessel mapping should be performed on all new patients when possible - true
The goal of vascular mapping is to assure that every new patient receives a fistula if possible - true
A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of
the access vessel). - inflow
The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%. -
false 84-98%
Venous stenosis is the most common cause of late fistula loss. - true
Persistent swelling of the access arm and prolonged bleeding after needle withdrawal are signs of an
inflow stenosis (inability for blood to enter the access) - true
A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula. - true
A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction. - true
The most serious catheter related complication is infection - true
3 processes that make up the water treatment system - pre treatment,
water-purification,
distribution
3 roles of davitas pnp play - a standard of care best demonstrated practice prima facieevidence
4 ways to prevent contributing to excess blood loss - eveluate effectiveness of of heparin
rinse back blood till lines are pink
hold acess site forappropriate time
dont waste blood in redraws
, acronym used when communicating - SMART
simple
meaningful
actual
read
teach
adequacy of dialysis is represented by - kt/v
antibiotic that should be administered over a period of at least 60 min - vancomycin
what factors influence k - bvp
what happens when arterial pressure becomes greater than -260 - hemolysis
what happens if total Cl is collected before the minimum time the RO should be operating - rsults could
be falsely negative
what happens to the TMP if clotting occurs in the dialyzer - it decrease
what happens when bleach an parecitc acid are mixed - a toxic cl gas is produced
wjat is a good adequacy goal for 3 times per week HD - KTV of atleast 1.2
URR of at least 65%
what is KDQOL 36 used - to asses physical health, mental health effects in dialy living symptoms burden
of kidney disease
what not to include in AOR - personal opinion
specu;ation
vendettas
what shou;d you do if pt needs a bathroom break - return blood and recirculate machine
when is a pyrogenic reaction most likely to occur - during the first 45-75 mins
when is risidual bleach testing done - after bleach dis infection and prior to use
when to chart in medical record - change in baseline assesment or pt condition
procedure or treatment
medication administration pt teaching
care plan
when to give hep b booster - when HBsAB drops 10
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