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Exam (elaborations)

Davita - Pct Study Guide (2026/2027) Update|Exam Questions With Multiple Choices |Verified & Revised Answers (New)!!!

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DAVITA - PCT STUDY GUIDE (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

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DAVITA - PCT STUDY GUIDE (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Chlorine/Chloraminemtesting:m-
mCORRECTmANSWERmWhen:mR/Omrunsm15mminsmbeforempatientmshiftmeverym4mhours



Where:mAftermPrimarymcarbonmtankmsamplemport

Acceptablemresult:mLessmthanmormequalmtom0.1mmg/L

Actionmifmresultsmaremtoomhighmpostmprimarymtank:mRepeatmthemtest



DefinemthemtermmAKIm-mCORRECTmANSWERm-
mTermmincorporatesmamwidemspectrummofmkidneymissues



-mIncludesmacutemkidneymfailuremasmwellmasmlessmcatastrophicmkidneymfunctionmchanges

-mMaymdialyzeminmanmout-patientmfacilitymuntilmkidneymfunctionmrecovers



Givemexamplesmofmpre-renalmcausesmofmAKIm-mCORRECTmANSWERm-mObstruction

-mVolumemDepletion

-mImpairedmCardiacmFunction



Givemexamplesmofmintra-renalmcausesmofmAKIm-mCORRECTmANSWERm-mIschemicmATN

-mSepsis

-mSIRS

-mSepticmShock

-mAnaphylaxismDrugs

-mGoodpasturemSyndrome

,-mAcutemGlomerulonephritis

-mTrauma

-mOpenmHeartmSurgery



Givemexamplesmofmpost-renalmcausesmofmAKIm-mCORRECTmANSWERm-mObstruction

-mOliguric

-mBladdermRupture

-mPregnancy



Howmdomyoumhelpminmrestoringmkidneymfunction?m-
mCORRECTmANSWERmFindmthemcausemofmthemAKI




Howmdomyoumprotectmkidneysmfrommfurtherminjury?m-
mCORRECTmANSWERmAvoidmsubstancesmtomthemkidneymwhichmmaymbemtoxicm(radiographicmcontras


t,mamphotericinmB,mlowmdosemaspirin,mNSAIDS)



WhatmismimportantmwhenmmonitoringmweightmandmBP?m-
mCORRECTmANSWERmKeepmamlittlemextramfluidmonmthemmsomitmismavailablemtomthemkidneysmwhenmth


eymstartmfiltering/ultrafiltratingmonmtheirmown



AKImpatientsmarematmincreasedmriskmformwhichmcomplications?m-mCORRECTmANSWERm-
mHypovolemia



-mHypotension



Whatmdomyoumneedmtomconsiderminmregardsmtomtheirm(AKImpatients')mvascularmaccess?m-
mCORRECTmANSWERmPatientsmwillmtypicallymhavemamdialysismcatheter,msombemcarefulmtomavoidmcath


etermrelatedminfections

,ExplainmthemdifferencembetweenmAKImandmCKDm-
mCORRECTmANSWERmEliminatingmthemcausemofmthemAKImcanmoftenmleadmtomthemreturnmofmkidneymf


unction.mYoumcannotmeliminatemthemcausemofmCKDmwhichmismHTN,mDiabetes,mandmgeneticmdisorder
sm(PKD)



OutlinemthemtreatmentmgoalsmformampatientmwithmCKDm-mCORRECTmANSWERm-
mSlowingmthemprogressionmofmCKD



-mManagingmcomorbiditiesmandmcomplications

-mControllingmsymptoms

-mMinimizingmthemeffectsmofmCKDmonmpatients'mlifestyles

-mKidneymreplacementmtherapymmodalitymeducation

-mEncouragingmpatientsmtomactivelymparticipateminmtheirmhealthcare



WhatmaremthemmostmcommonmcausesmformCKDminmthemUSA?m-mCORRECTmANSWERm-mDM

-mHTN

-mPKD



Whymitmismimportantmtomknowmwhatmcausedmyourmpatient'smCKD?m-
mCORRECTmANSWERmSomthemnursemandmPCTmcanminquiremaboutmpossiblemproblemsmduringmdatamc


ollectionmandmassessment



InmKt/V,mwhatmism'K'?m-mCORRECTmANSWERmClearancemofmurea



Whatmtreatmentmfactorsmdecreasem'K'?m-mCORRECTmANSWERm-mInadequatemcoagulation

-mDecreasedmBFR

-mPoormpriming

-mNotmfollowingmeP&P

-mPatientmnotmstayingmonmTXmasmprescribed

, Whatmtreatmentmfactorsmincreasem'K'?m-mCORRECTmANSWERm-mIncreasedmBFR

-mCorrectmDFR

-mCorrectmdialyzer

-mCorrectmtargetmweight-amputationmfactor



InmKt/V,mwhatmism't'?m-mCORRECTmANSWERmTimemofmdialysismsession



Whatmfactorsminfluencem't'?m-mCORRECTmANSWERmRunningmprescribedmTXmtime

-mFollowmphysicianmorders

-
mEncouragempt.mtomrunmentiremTXm[Gettingmoffmearlymwillmimpactmtimem(missingmtxmalsomimpactmtxm
time)]



InmKt/V,mwhatmism'V'?m-mCORRECTmANSWERm-mVolumemofmureamdistribution

-mVolumemofmpatient'smbodymwaterminmwhichmureamismdistributed



Whatmfactorsminfluencem'V'?m-mCORRECTmANSWERm-mAmputation

-mHeight

-mSex

-mAge

-mTypemofmaccessm(lessmefficientmaccessmreducesmthemvolumemprocessmofmampatient'smblood)



SuggestedmBFRmform17mgaugemneedlesm-mCORRECTmANSWERm200-250



SuggestedmBFRmform16mgaugemneedlesm-mCORRECTmANSWERm250-350

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