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Davita PCT Final exam_ 100 Questions (answered correctly).
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Davita PCT Final exam_ 100 Questions (answered correctly).
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Davita PCT Final exam_ 100 Questions (answered correctly). A new AV fistula has received its post op exam, meets the criteria listed in the KDOQI Rule of 6s and the nephrologist writes orders to begin cannulation. Which teammates can cannulate the AVF? a. The NFACT Beginner Cannulator b.The NFACT Intermediate Cannulator c. The NFACT Advanced Cannulator d. Any teammate who has completed vascular access cannulation training (ANS) - c. The NFACT Advanced Cannulator A patient with Acute Kidney Injury (AKI) is at increased risk for: a. Hypertension and Hypervolemia b. Hypotension and Hypovolemia c. Anemia and MBD d. Receiving too much dialysis time (ANS) - b. Hypotension and Hypovolemia A pat ient with hyperkalemia will present with a. Hypotension and dizziness b. Nausea/vomiting and fatigue c. Extreme muscle weakness and an abnormal heart rhythm d. Severe itching and irritability (ANS) - c. Extreme muscle weakness and an abnormal heart rhythm A recommended intervention for muscle cramps is a. Discontinuing the treatment if less than 15 minutes of treatment time remain b. Turning the UFR off c. Advising the patient to bring and use a heating pad d. Applying a glove filled with hot water (ANS) - b. Turning the UFR off A surveyor asks you a question. Which of the following statements would be a good answer? a. This is the way we have always done it b. Nobody showed me how to do this c. I do not kno w the answer but I will find out d. This is a faster way (ANS) - c. I do not know the answer but I will find out A surveyor discovers that the chlorine checks have not been done correctly. What kind of deficiency would the surveyor give the facility? a. Standard Deficiency b. Condition c. Immediate Jeopardy d. Grave Violation (ANS) - c. Immediate Jeopardy All documentation on machine setup and pre -treatment patient information a. Must be entered into the computer before the treatment is initiated b. Must b e entered into the computer at the time the treatment is initiated c. Must be entered into the computer within five minutes after the treatment is initiated d. Must be entered into the computer before the treatment is terminated (ANS) - a. Must be entered i nto the computer before the treatment is initiated An optimal nutrition status is evidenced by a. An appropriate amount of energy, ability to sleep well at night, serum potassium of no greater than 5.5 mEq/L, and a BUN of 60 -80 mg/dl b. A 30 minute exerci se tolerance, calcium 8.4 -10.2 mg/dl, phosphorus 3 -5.5 mg/dl and PTH intact 150 -600 pg/ml c. Patient report of feeling well, no excess fluid weight gains, bringing appropriate snacks to dialysis, and taking phosphate binders with every meal d. A stable, de sirable target weight, adequate fat stores and muscle mass, appropriate appetite and intake, and a serum albumin of equal to or greater than 4 gm/dl (ANS) - d. A stable, desirable target weight, adequate fat stores and muscle mass, appropriate appetite and intake, and a serum albumin of equal to or greater than 4 gm/dl As you initiate the treatment, your patient complaints of pain a the venous needle site, tingling around the lips and difficulty breathing. These are signs and symptoms of a. An air embolus b. A disinfectant infusion c. Impending cardiac arrest d. A dialyzer reaction (ANS) - b. A disinfectant infusion At what time do you perform water hardness testing? a. At the beginning of each day prior to the first treatment b. About halfway through your treatment day c. Every four hours d. At the end of the treatment day (ANS) - d. At the end of the treatment day Attempting to remove a large amount of fluid weight gain from the patient a. Should be supported through use of sodium modeling and hypertonic saline administration as needed to prevent hypotension b. Can lead to hypovolemia during the treatment which is associated with an increased mortality rate c. May require exceeding the physician ordered maximum UFR for the patient d. Can lead to unpleasant side effects such as muscle cramps which can be used as teaching tool to motivate patients to watch their fluid intake (ANS) - b. Can lead to hypovolemia during the treatment which is associated with an increased mortality rate Attention to infection cont rol, proper hand hygiene, cleaning and disinfection procedures are of utmost importance in the dialysis setting. Which of the following statement is true? a. Only items taken to a clean dialysis station prior to initiation of a patient treatment can be returned to a common clean area without being disinfected b. If a hemodialysis patient performs self -care at the facility, common supply carts used to store clean supplies may be placed within the patient's reach c. Viable MRSA bacteria can remain on surfaces for days with plastic and vinyl being most favorable to their survival d. Red disposal bags are to be closed with a tight "dog eared" knot to prevent leakage of fluid from the bag (ANS) - c. Viable MRSA bacteria can remain on surfaces for days with plastic and vinyl being most favorable to their survival Benefits of peritoneal dialysis and home hemodialysis include: a. Home based b. Flexible schedule c. Fewer dietary restrictions d. All of the above (ANS) - d. All of the above Convection is defined as a. Solutes are dragged across the semipermeable membrane along with fluid b. Controlled fluid removal by manipulation of hydrostatic pressure c. Particles move from an area of higher solute concentration to an area of lower solute concentration d. Fluid mo ves from an area of lower solute concentration to an area of higher solute concentration (ANS) - a. Solutes are dragged across the semipermeable membrane along with fluid Diffusion is defined as a. Particles move from an area of higher solute concentration to an area of lower solute concentration b. Controlled fluid removal by manipulation of hydrostatic pressure c. Solutes are dragged across the semipermeable membrane along with fluid d. Fluid moves from an area of lower solute concentration to an area of higher solute concentration (ANS) - a. Particles move from an area of higher solute concentration to an area of lower solute concentration Documentation in the medical record a. Includes caregiver opinion. b. Belongs to the patient. c. Is a permanent legal record of the care provided d. Is not subject to review by surveyors (ANS) - c. Is a permanent legal record of the care providedThe benefits of buying summaries with Stuvia:
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