Real PCT davita final exam questions and Answers

Which of the following statements is not an underlying assumption of self management - Correct answer-People with complex chronic kidney conditions such ass ESRD have more difficulties with successful self management Which of the following is a basic principle of self management - Correct answer-Dealing with the consequences of the illness rather than just the physical disease its self Andragogy takes into account - Correct answer-That adults desire to take responsibility for what they learn In order to detect problems as early as possible a thorough evaluation of a new fistula four to six weeks after creation should be considered mandatory - Correct answer-true Vessel mapping should be performed on all new patients when possible - Correct answer-true The goal of vascular mapping is to assure that every new patient receives a fistula if possible - Correct answer-true A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of the access vessel). - Correct answer-inflow The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%. - Correct answer-false 84-98% Venous stenosis is the most common cause of late fistula loss. - Correct answer-true Persistent swelling of the access arm and prolonged bleeding after needle withdrawal are signs of an inflow stenosis (inability for blood to enter the access) - Correct answertrue A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula. - Correct answer-true A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction. - Correct answer-true The most serious catheter related complication is infection - Correct answer-true 3 processes that make up the water treatment system - Correct answer-pre treatment, water-purification, distribution 3 roles of davitas pnp play - Correct answer-a standard of care best demonstrated practice prima facieevidence 4 ways to prevent contributing to excess blood loss - Correct answer-eveluate effectiveness of of heparin rinse back blood till lines are pink hold acess site forappropriate time dont waste blood in redraws acronym used when communicating - Correct answer-SMART simple meaningful actual read teach adequacy of dialysis is represented by - Correct answer-kt/v antibiotic that should be administered over a period of at least 60 min - Correct answervancomycin what factors influence k - Correct answer-bvp what happens when arterial pressure becomes greater than -260 - Correct answerhemolysis what happens if total Cl is collected before the minimum time the RO should be operating - Correct answer-rsults could be falsely negative what happens to the TMP if clotting occurs in the dialyzer - Correct answer-it decrease what happens when bleach an parecitc acid are mixed - Correct answer-a toxic cl gas is produced wjat is a good adequacy goal for 3 times per week HD - Correct answer-KTV of atleast 1.2 URR of at least 65% what is KDQOL 36 used - Correct answer-to asses physical health, mental health effects in dialy living symptoms burden of kidney disease what not to include in AOR - Correct answer-personal opinion specu;ation vendettas what shou;d you do if pt needs a bathroom break - Correct answer-return blood and recirculate machine when is a pyrogenic reaction most likely to occur - Correct answer-during the first 45-75 mins when is risidual bleach testing done - Correct answer-after bleach dis infection and prior to use when to chart in medical record - Correct answer-change in baseline assesment or pt condition procedure or treatment medication administration pt teaching care plan when to give hep b booster - Correct answer-when HBsAB drops 10 when to use directing communication - Correct answer-when trainning pts when to use folowing communication - Correct answer-when pt need time to process or digest something when to use guiding communication - Correct answer-when creating an action plan what bacteria requires hand washing instead of alcohol rub - Correct answer-c diff which direction should arterial needle be placed - Correct answer-anti or retro who cares which direction should the venous needle be placed - Correct answer-antegrade with flow of blood who educate pt on treatment modality - Correct answer-neph, SW and CN to evaluate if pt is stable before discharge - Correct answer-nurse must complete post treatment assessment pre treatment required by nurse? - Correct answer-if abnormal findings for AKI pt pretreatment always required if a pt with acute kidney injury dialyses in the out pt facility one task of the pt care TM is to monnitor blood pressure and weight closely why? - Correct answer-HYPOvolemia and HYPO tensives episode can cause RENAL ISCHEMIA and can further damage the kidneys CKD can have its origin pre renal, intra renal, or post renal. which of the following conditions is an intrs renal cause of CKD - Correct answer-hypertension pt with cardiac disease are ten times more likely to experience intradailytic hypotension - Correct answer-LVH offering a pt this is an example of sodium loading - Correct answer-broth what is an intra cellular or intersistial symptom of fluid overload - Correct answer-edema this electrolyte is often elevated in pts who experience severe itching - Correct answerphosphorus the kidneys help regulated BP with this - Correct answer-renin this hormone stimulates the bone marrow to make red blood cells - Correct answererythopoieten this electrolyte aids in clotting, nerve impluse transmission, muscle contractions and bone formation - Correct answer-calcium restless leg syndrome is a symptom of which complications in CRF - Correct answerperipheral neuropathy what is classified as a bone disease associated with renal failure - Correct answer-CKDMBD the kidneys convert Vitamin D into which hormone - Correct answer-calcitrol these procedures can cause significant blood loss in our patients - Correct answeraccess maintaining normal serum calcium levels is the primary function of this hormone - Correct answer-PTH this disease is the leading cause of death in patients at all stages of CKD - Correct answer-cardiovascular the transport mechanism when particles move from an area of higher solute concetration to an area of lower solute concentration is called - Correct answer-diffusion during dialysis the movent of bicarb from the dialysate into the blood - Correct answerhelps normalize ph the kineys excretory function include - Correct answer-nomalizing electrolytes