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Exam (elaborations)

Real PCT davita final exam questions

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Real PCT davita final exam questions

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  • August 21, 2024
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REAL PCT DAVITA FINAL EXAM
QUESTIONS 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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