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DaVita PCT Final Exam
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DaVita PCT Final Exam
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DAVITA PCT FINAL EXAM QUESTIONSAND ANSWERS GRADED A+
a What factor would influence the "t" of the Kt/V formula - Shortened treatment tkme
Poor wound healing is directly related to - Inadequate protein intake
Standing post-treatment BP reading of _____ is considered an abnormal finding - BP systolic greater than
140 or less than 90
What factor would decrease the K of the Kt/V formula - Inadequate anti coagulation
Documentation in the medical record - Provides data for the continuity and planning of patient care
Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral & Bone
Disorder (MBD) is treated with - Phosphate binders, vitamin D, and Calcitriol
What is the most likely reason for a blood leak detector alarm during recirculation - Air bubbles in
dialysate or a dirty sensor
The person responsible for implementation, adherence and training of the facility - The FA
Administration of normal saline - The teammate must remain with the PT to monitor the process until
administration is complete and lines are secure
The dialysis team prevents additional blood loss by - providing appropiate heparin dose per physician
order using good cannulation and proper rinseback after tx.
The psychological assessment completed by the social worker - Is completed initially and annually
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
complete the emergency take off procedure
Evacuate in safe and timely manner due to impairment
Per the CDC, which is the most important route by which pathogens are transmitted in healthcare
settings including dialysis centers? - Contact transmission
A recommended intervention for muscle cramps is - Turning the ultrafiltration (UFR) off.
A patient target weight is - Both
Prescribed and determined by physician order
Modified by physician based on patient tolerance
What complication would you expect to see if a patient is exposed to chlorine - Hemolysis
, How do you verify that the patient is stable and safe for discharge after treatment - All
Evaluate the effectiveness of the TX by comparing post and pre data
PCTs notify RN if there are any unusual findings
Nurses perform a post TX assessment as required
Why is meticulous hand hygiene so important in healthcare? - It is the single most important
intervention in preventing Healthcare Associated Infections HAI
Which of the following may be, but doesn't have to be a sign of hemolysis - Cherry red colored blood in
the Venus line
Knowing what caused your patient's renal failure - Is important to inquire about possible problems
during data collection and assessment
To assist in survey readiness you should - All
Stay current and follow policies and procedures
Assist with internal audits
Maintain a culture of safety
DaVita Quality Index (DQI) success is achieved - all of the above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held identify trends and make
improvements
Ultrafiltration is described as - Controlled fluid removal by manipulation of hydrostatic pressure
Water and dialysis cultures are drawn every month in a dialysis unit to monitor - Bacteria and endotoxins
Your immediate intervention for a patient experiencing an anaphylactic reaction is - Discontinue the
suspected therapy, stop the blood pump, do not return the blood
Water treatment is needed in the dialysis setting to - Provide patient safety and prevent equipment
damage
If clotting occurs in a high flux dialyzer, the TMP will - decrease
The max UF rate should not exceed ___ because it may lead to hypotension episodes which increases to
- 13 ml/kg/hr
The excretory function of the kidneys include - Fluid balance, electrolyte balance, waste removal,
acid/base balance
What type of blood/dialysate flow within the dialyzer increases the rate of diffusion providing optimal
dialysis for patients - counter current flow
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