Davita Latest PCT final exam davita answered; summer 2022.

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What complication would you expect to see if a patient is exposed to chlorine/chloramines? - Ans-Hemolysis You are performing the first chlorine/chloramine testing of the day after the RO has been ... running for 10 minutes. Performing thetest at this time - Ans-Could result in a false negative test At what time do you perform water hardness testing? - Ans-At the end of each treatment day What is your immediate response to a final water quality alarm on the treatment floor? - Ans-Place all machines into bypass Benifits of peritoneal dialysis and home hemodialysis? - Ans-Home based Flexible schedule Fewer diatary restrictions The two types of peritoneal dialysis are - Ans-CAPD and CCPD Procedure when useing hemostatic sponges such as SureSeal? - Ans-Remove the hemostatic sponge after hemostasis has been acheived and dress needle site w bandaid or gauze - Ans-Two weeks Why should a pt be in a comfortable supine position when performing Pre dialysis CVC care? - Ans-The supine position increases pressure with in central veins and diminishes the risk of an air embolism Flipping the arterial vascular access needle - Ans-Is not necessary since all arterial needles now have a back eye A new AVF has received his post op exam and meets KDOQIs rule of 6s which NFACT cannulator would the AVF - Ans-Advanced cannulater AV graft and hear whistling sound could be indicative of - Ans-An outflow stenosis KDOQI rule of 6s - Ans-Provides guidelines for use of new AV fistula To prevent the formation of aneurysms in pseudo aneurysm the following should be practice - Ans-Good needle site rotation in complete needle site clotting techniques During cannulation of all AV fistula's - Ans-A tourniquet is to be applied to increase vein engorgement and stabilize vessel What is an important action prior to returning a patient's blood using the hand crank in the event of a power failure - Ans-Remove the venous line from the line clamp What problems will cause a more negative (high-pressure alarm) pre-pump arterial pressure - Ans-Kinking of the arterial blood line between the vascular access in the arterial monitor What problems will cause an increase in venous pressure - Ans-Clotting of the Venus drip chamber Which statement is true regarding the "reason of prudent" standard of care - Ans-When supervising patient care technicians and other non-licensed personnel it is the responsibility of the license nurse to ensure these teammates also meet the standard of care Performing a procedure "your way" rather than following to daVitas policy and procedures - Ans-Can lead to civil liability in the event of an adverse patient outcome A surveyor ask you a question which of the following statements would be a good answer? - Ans-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? - Ans-Immediate jeopardy When comparing the dialysis machines conductivity reading to your manual reading policy states that the difference between these two readings is to be - Ans-No greater than +/- 0.4 Why do we measure the pH of the dialysis solution? - Ans-To verify it's acid base balance is within the acceptable range What complication occurs if blood is exposed to dialysate that is too hot? - Ans-Hemolysis The waiting time after administration of the initial heparin loading dose prior to initiation of hemodialysis is - Ans-3-5 mins In optimal nutrition status is evidenced by - Ans-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 4gm/dl Phosphate binders are prescribed to prevent phosphorus and meals from being absorbed. when is the best time to take them? - Ans-With a meal Your patient pulls out her snack during dialysis as she savers the first bite of her banana she smiles and tells you she always wants to eat foods high in potassium during dialysis so it won't harm her what is your appropriate response? - Ans-Explain to the patient that the potassium and food eaten during dialysis is not dialyzed off Definition of health literacy - Ans-The degree to which individuals understand basic health information Educational tips for auditory learners - Ans-Using word associations and mnemonic Educational tips for kinesthetic learner's include - Ans-Taking short breaks and allowing your patient to get up and walk around Educational tips for visual learners include - Ans-Selecting quiet surroundings The sign that Numbing has taken effect and it is time to stop spraying topical anesthetic onto a vascular access cannulation sites is - Ans-Blanching on the skin Unless otherwise directed by the manufacture or state specific pharmacy regulations when must medications containing a preservative be discarded - Ans-28days after opening Diffusion is defined as - Ans-Particles move from an area of higher solute concentration to an area of lower solute concentration Osmosis is defined as - Ans-Fluid moves from an area of lower solute concentration to an area of higher solute concentration Hemodialysis helps normalize body pH through - Ans-Diffusion of bio carbonate from the dialysate into the blood The endocrine function of the kidney are - Ans-Renin and erythropoietin secretion ,activation of vitamin D The excretory function of the kidney is - Ans-To normalize electrolytes Which of the following is a basic principle of patient self management - Ans-Dealing with the consequences of illness rather than just the physical disease [Show More]

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