DAVITA PCT Final Exam With Verified Questions And Answers

DAVITA PCT Final Exam With Verified Questions And Answers What is important when monitoring wait and blood pressure for a cute patients Keep patient wet to avoid hypotensive episodes What do you need to consider in regards to acute patient vascular access Follow p&p to prevent infections Why is it important to know what caused your patient CKD? To inquire about possible problems during data collection and assessments What is the K in KT/V? 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 volume sex, age, weight, height, amputations 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 Reasons for documenting in the medical record 1)Proof that Care was rendered 2)Provide data continuity and planning of patient care 3) permanent, legal record 4) communication tool Pre-treatment. Patient data collection an assessment. 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 5W's to be used when completing an a OR 1) who should report an aor 2) what type of incident 3) when should it be reported 4) why 5)where The four consequences of sodium loading during dialysis 1)weight gain 2) thirst 3) increase fluid intake 4) increased ultra filtration 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 diastole? To verify acid base balance is within an acceptable range Conductivity and PH alarm is caused by having 1)no concentrate 2) improper bicarb 3) calcium, or magnesium precipitate 4) line of filter, occlusion from debris 5) improper calibration Causes for temperature alarm Lower temperature increases BP hemodialysis occurs at 42° calcium which releases potassium What do we do in a power outage? remove venous line from air detector, clamp, before starting hand crank and be diligent in watching for air in blood lines Arterial pressure high alarm causes separation of tubing Venous pressure high alarm causes Kink in tubing -infiltration -clotting in the Venus drip chamber The DaVita Quality Index - DQI provides a powerful tool for assessing facility performance and improving the lives of patients. DQI success is achieved by: managing individual Patient First and allowing scores to follow knowing each team members role in improving dqi scores. Using the CQI process to help identify trends and make improvements. 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