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DAVITA PCT FINAL EXAM LATEST 2024/2025 UPDATED QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
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DAVITA PCT FINAL EXAM LATEST 2024/2025 UPDATED QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
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DAVITA PCT FINAL EXAM LATEST 2024/2025UPDATED QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A+
What treatment factors decrease K - ANSWER-not waiting 3-5 minutes after
giving heparin with treatment initiation to prevent clotting
What factors influence volume - ANSWER-sex, age, weight, height, amputations
What do you do if a patient wants to get off early - ANSWER-educate and
document, still draw lab on habitual patients, MUST NOTIFY NURSE
Lab draw mistakes that would falsely increase Kt/V - ANSWER-not waiting the
full 15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation? - ANSWER-data
collection
What is important when monitoring wait and blood pressure for a cute patients
- ANSWER-Keep patient wet to avoid hypotensive episodes
What do you need to consider in regards to acute patient vascular access -
ANSWER-Follow p&p to prevent infections
,Why is it important to know what caused your patient CKD? - ANSWER-To
inquire about possible problems during data collection and assessments
What is the K in KT/V? - ANSWER-Clearance of urea
Reasons for documenting in the medical record - ANSWER-1)Proof that Care
was rendered
2)Provide data continuity and planning of patient care
3) permanent, legal record
4) communication tool
Pre-treatment. Patient data collection an assessment. - ANSWER-Data
collection before initiation assessment 30 minutes into treatment
Post treatment data collection assessments - ANSWER-After treatment not
during rinseback
What are possible consequences of poor or incomplete documentation? -
ANSWER-attack on your care
What are the six items included in charting administered medications? -
ANSWER-Reason for administering
What are the 5W's to be used when completing an a OR - ANSWER-1) who
should report an aor
2) what type of incident
,3) when should it be reported
4) why
5)where
The four consequences of sodium loading during dialysis - ANSWER-1)weight
gain
2) thirst
3) increase fluid intake
4) increased ultra filtration rate
What is the purpose of UF profiling? - ANSWER-fit to the patient to prevent
crashing and allow for vascular refill
Why do we measure the pH in the diastole? - ANSWER-To verify acid base
balance is within an acceptable range
Causes for temperature alarm - ANSWER-Lower temperature increases BP
hemodialysis occurs at 42° calcium which releases potassium
What do we do in a power outage? - ANSWER-remove venous line from air
detector, clamp, before starting hand crank and be diligent in watching for air
in blood lines
Arterial pressure high alarm causes - ANSWER-separation of tubing
Venous pressure high alarm causes - ANSWER-Kink in tubing -infiltration -
clotting in the Venus drip chamber
, The DaVita Quality Index - DQI - ANSWER-provides a powerful tool for
assessing facility performance and improving the lives of patients.
DQI success is achieved by: - ANSWER-managing individual Patient First and
allowing scores to follow knowing each team members role in improving dqi
scores. Using the CQI process to help identify trends and make improvements.
Importance of P&P - ANSWER-when supervising non-licensed, assistive
personnel, it is the responsibility of the licensed nurse to ensure these
teammates also meet the standard of care
What are the risks of doing it your way - ANSWER-it can lead to civil liability
What makes dialysis patients more susceptible to HAI's? - ANSWER-They have
weekend, immune system's and prolonged access to blood
What is the most common transmission route for HAI's? - ANSWER-Contact
transmission
What is the most important intervention you can do to prevent HAI's? -
ANSWER-Hand washing
What is the most common infectious complication in hemodialysis patients? -
ANSWER-Per the CDC, the most common factor contributing to bacteremia is
CVC
Why is wearing gloves so important? - ANSWER-Decreases risk of hand
contamination
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