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PCT test study guide questions reviewed and verified.
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PCT test study guide questionsreviewed and verified.
Give 3 Examples of PRE,INTRA- and Post renal causes of AKI ANS - Pre, Intra, and Post
1. Pre:
a. Obstruction
b. Volume depletion
c. impaired cardiac function
2. Intra:
a. Ischemic ATN
b. Sepsis
c. SIRS
d. Septic Shock
e. Anaphylaxis Drugs
f. Good pasture Syndrome
g. Acute Glomerulonephritis
h. Trauma
i. Open Heart Surgery
3. Post
a. Obstruction
b. Oliguric
c. Bladder rupture
d. Pregnancy
Kt/V - What is "k" ANS - Clearance of urea
What tx factors decrease K in Kt/V ANS - 1. Inadequate coagulation
,2. decreased BFR
3. poor priming
4. not following p&p
5. patient not staying on tx as prescribed
Needle gauge and suggested BFR - 14: ANS - Greater than 450ml/min
Needle gauge and suggested BFR - 15: ANS - 350-450 ml/min (BFR)
Needle gauge and suggested BFR - 16: ANS - 250-350ml/min (BFR)
Needle gauge and suggested BFR - 17: ANS - 200-250ml/min (BFR)
Lab draw mistakes that would falsely decrease Kt/V ANS - 1. BFRs not reduced
2. Waiting only 5 secs
3. Drawing post BUN from venous line
What is the role of the PCT prior to treatment initiation ANS - Complete data collection and PCT must
notify the RN if there are any abnormal findings prior to initiation of tx, get machine ready
What is the role of the licensed nurse prior to treatment initiation? ANS - 1. Assess abnormal findings
from data collection
2. determine appropriate interventions - based on physician orders
3. contact physician if needed
When is a pre-treatment assessment by the licensed nurse required ANS - 1. Based on State law -may
be before tx initiation or within an hour of tx initiation
2. if data collection has abnormal findings
3. For patients with AKI- a pre-treatment assessment is always required
, What BP reading error can be caused by an incorrect cuff size (cuff to Large) ANS - Reading may be
lower than actual BP
What BP reading error can be caused by an incorrect cuff size (Cuff to small) ANS - Reading may be
higher than actual BP
When is post-treatment assessment by the licensed nurse required ANS - 1. required by some states
2. if there are abnormal findings
DQI success is achieved by: ANS - 1. Managing individual patients first and allowing scores to follow
2. Knowing each team member's role in improving DQI scores
3. Using the CQI process to help identify trends and make improvements
The clinical Pyramid includes ANS - 1. The fundamentals
2. Complex Programs
3. Measures of Effectiveness
4. What matters most
Why do we document in the medical record? ANS - 1. Proof care was rendered
2. Provides data continuity
3. Communication Tool
4. Permanent Legal Record
What are the appropriate times for documentation? Pre-treatment safety checks: ANS - prior to
initiation of treatment
What are the Appropriate timefor documentation for "Pre-treatment patient data collection" ANS -
prior to treatment initiation if required by state law or within the 1st hour of dialysis treatment
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