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Exam (elaborations)

Davita PCT Certification Exam Questions and Answers Verified Solutions Latest Update 4

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Davita PCT Certification Exam Questions and Answers Verified Solutions Latest Update 4

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(Already Passed A+) What Do You Need
to Consider in Regards to Exam
Questions
and Answers Verified Solutions Latest
Update


Question:

access?

Answer:
Usually have a CVC-follow policy and procedure to prevent infections Why is it
important to know what caused your patient's CKD? -✓✓to inquire about possible
problems during data collection and assessments Kt/V: What is K? -✓✓clearance of
urea What treatment factors decrease K? -✓✓not waiting 3-5 minutes after giving
heparin with treatment initiation to prevent clotting What factors influence V (volume)?
-✓✓sex, age, weight, height, amputations Needle gauge and suggested BFR -✓✓17:
200-250 16: 250-350 15: 350-450 14: >450 What do you do if a patient wants to get off
early? -✓✓educate and document, still draw lab on habitual patients, MUST NOTIFY
NURSE Lab draw mistakes that would falsely increase Kt/V -✓✓not waiting the full 15
seconds to draw the BUN What is the role of the PCT prior to treatment initiation?
-✓✓DATA COLLECTION Squeezing the BP cuff can damage the machine: T/F -✓✓True 4
reasons we document in the medical record -✓✓1. proof that care was rendered


Question:

provides data continuity and planning of patient care


Question:

permanent legal record


Question:

communication tool Pre-treatment patient data collection/assessment

Answer:
Data collection: before initiation Assessment: 30 minutes into treatment Post treatment
data collection/assessments -✓✓after treatment -NOT DURING RINSEBACK What are
possible consequences of poor or incomplete documentation - ✓✓attack on your care

, What are the six items included in charting administered medications? - ✓✓REASON
FOR ADMINISTERING What are the 5 W's to be used when completing an AOR -✓✓who
should report an AOR what type of incident when should it be reported where should
they be reported why What are the four consequences of sodium loading during
dialysis? - ✓✓Thirsty Increase Fluid Intake Increased intradialytic weight gain Increased
ultrafiltration rate What is the purpose of UF profiling? -✓✓fit to the patient to prevent
crashing and allow for vascular refill Why do we measure the pH in the dialysate -✓✓to
verify acid-base balance is within an acceptable range Conductivity and pH alarm
causes -✓✓no concentrate improper bicarb calcium or magnesium precipitate line of
filter occlusion from debris improper calibration Temperature alarm causes -✓✓lower
temperature, increases BP hemolysis occurs at 42 degrees calcium which releases
potassium Power -✓✓the appropriate intervention is to remove venous line from air
detector clamp before starting hand crank Arterial Pressure High alarm causes
-✓✓separation of tubing Venous pressure high alarm causes -✓✓kink in tubing
infiltration clotting in the venous drip chamber Davita Quality Index -✓✓the purpose of
selecting the component measure for DQI is to encourage continuous improvement
across a broad range of disease management processes DQI success is achieved by
-✓✓-managing individual patients first and allowing scores to follow -knowing each
team members role and improving DQI scores -using the CQI (continuous quality
improvement) process to help identify trends and make improvements (answer all of
the above) Importance of P&P -✓✓when supervising non-licensed, assistive personnel,
it is the responsibility of the licensed nurse to ensure these teammates also meet the
standard of care What are the risks of doing it your way -✓✓it can lead to civil liability
What makes dialysis patients more susceptible to HAIs? -✓✓they have weakened
immune systems and prolonged access to blood Why are dialysis patients at increased
risk for acquiring a HAI at the facility? -✓✓CONTACT TRANSMISSION what is the most
common transmission route for HAIs? -✓✓contact transmission What is the most
important intervention you can do to prevent HAIs? - ✓✓Hand washing What is the
most common infectious complication in hemodialysis patients? -✓✓Per the CDC, the
most common factor contributing to bacteremia is CVC What germ causes the most
common infections in hemodialysis patients? -✓✓MRSA Why is wearing gloves so
important? -✓✓Decreases risk of hand contamination Who can use sinks designated for
hand washing? -✓✓clean sinks must be dedicated for hand washing only What is the
correct procedure in regards to your hands when you have casual contact with a
patient? -✓✓don't need to have gloves but must perform hand hygiene before caring
for patients Successful Lab draws -✓✓know the 20 tips -follow the order of the lan
draws to prevent specimens from being contaminated with other tube additives
-double labeling tubes prohibits processing rules for spinning samples -✓✓only spin
tubes of same kind, size, and fill level and should be placed opposite of each other
hyperkalemia -✓✓potassium above 6.5 extreme muscle weakness cardiac arrest What
is the primary cause patients are anemic? -✓✓decreased production of Erythropoietin
How can you print contributing to blood loss? -✓✓adequate heparinization What is
pericarditis? -✓✓inflammation of sac around the heart What is included in pericarditis
treatment? -✓✓RESTRICTION OF HEPARIN more/adequate dialysis What to use for Dry,

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