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Davita pct final exam 2023/2024
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Davita pct final exam 2023/2024
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DAVITA PCT FINAL EXAM 2023/2024QUESTIONS WITH COMPLETE
SOLUTION
dWater and dialysate cultures are drawn every month in the dialysis unit to monitor - bacteria and
endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure. - blockage of
arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation - -air bubbles in the
dialysate, dirty sensor
-check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? - look at circuit for blood in the
system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? - Kinking of the arterial blood line between
the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will - decrease
what could be the reasons for a conductivity alarm on the dialysis machine - when the dialysate is mixed
incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility specific emergency
management plan (EMP) and applicable policy and procedures is - Fa or designee
Teammates MUST be able to readily identify patients who may require additional assistance in the event
of an emergency evacuation. This will include patients who need help with or are unable to - both b and
c
what is an important action prior to returning a patients blood using the hand crank in the event of a
power failure ? - remove the venous line for the line clamp
Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral and Bone
Disorder (MBD) is treated with - phosphate binders, Vit D (Hectorol), and Cinacalcet
Poor wound healing is directly related to - low protein intake
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is the
best time to take them ? - with meal
The definition of Health Literacy is - ability to obtain, read, understand, and use healthcare information
in order to make appropriate health decisions and follow instructions for treatment
, If you notice that a patient's caretaker is struggling to meet the demands of the patients treatment
regime you should - contact social worker
The Psychosocial Assessment completed by the social worker - an evaluation of a person's mental health,
social status, and functional capacity within the communityCompeted initially and annually
The Clinical Pyramid includes : - • 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
DaVita Quality Index (DQI) success is achieved - encourage continuous improvement across aboard range
of disease management processes (all of the above )
What can be the most likely result if the surveyor sees a patient with a covered vascular access -
immediate jeopardy
A surveyor asks you a question. Which of the following statements would be a good answer ? - I do not
know the answer but I will find out.
Intra-renal causes of AKI - Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs, Goodpasture
Syndrome, Acute Glomerulonephritis, Trauma, Open Heart Surgery
Knowing what caused your patients kidney failure - can cause complications to treatment
A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the patients target
weight, why is being "wet" better that being too dry? -
The excretory function of the kidneys include - remove access water, urea, and metabolic wastes from
the blood.
Acid concentrate replaces the excretory function of normal kidney function by - Hemodialysis removes
urea, salts, and excess water from the blood normalizing electrolytes, removes metabolic acidosis,
Ultrafiltration is defined as - controlled fluid removed by manipulation of hydrostatic pressure
The endocrine functions of the kidneys are - Renin and erythropoietin secretion ,activation of vitamin D
Dialysis replaces only ___ percent of normal kidney function. - 15%
The most common infectious complication for hemodialysis patients is - centenal line infections
What is one method surveyors used to verify infection control training and education ? - patient
interview
Which infectious disease requires frequent handwashing instead of using alcohol based hand gels? -
Active Clostridioides difficile infection C.diff
Per the Centers for Disease Control and Prevention (CDC), which is the most important route by which
pathogens are transmitted in health care setting including dialysis centers. - contact transmission
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