Davita PCT exam May 2024 Latest
Update correct 100%
Number 1 & 2 cause of (CKD) chronic kidney diease - ANSWER 1- diabetes 2-
hypertension
In (AKI) acute kidney injury it is better to keep patients? - ANSWER too wet, rather than
too dry with fluid removal goals
3 sub-groups of ckd? - ANSWER 1-pre-renal-interferes w/ BF to the kidneys, causes-
injuries/renal artery clot
2-intra-renal-damages nephron directly, causes-diabetes/hypertension/PKD
3-post-renal-any condition interfering w/ urine leaving the bladder, causes-kidney
stones/enlarged prostate
Acceptable conductivity range of dialysate? - ANSWER 13-15.5ms
+/- 0.4
Acceptable PH range of bicarb? - ANSWER 6.9-7.6 PH
Hemodialysis (HD) replaces approximately how much of normal kidney function? -
ANSWER 15%
In patients w/ kidney failure, what is recommended to use if they are having issues w/
their skin, such as dryness? - ANSWER hyper fatted/super fatted soaps and lotions
There is no specific tx for a patient w/ peripheral neuropathy, but it is recommended that
a patient should? - ANSWER not walk barefoot
check feet for cuts
test bath water to ensure it is not too hot
Filtration - ANSWER fluid passing through a semi-permeable membrane, controlled by
hydrostatic pressure
EX. coffee filter
Ultrafiltration (UF) - ANSWER controlled fluid removal by manipulation of hydrostatic
pressure
Convection - ANSWER solutes dragged across the semi-permeable membrane along
w/ the fluid
Diffusion - ANSWER the process by which particles (solutes) move from an area of
higher concentration to an area of lower concentration
, normal acid-base balance of the body? - ANSWER 7.35-7.45 PH
How do kidneys control blood pressure? - ANSWER renin-angiotensin system
Primary device used for water purification in dialysis? - ANSWER Reverse Osmosis
3 responses to final water quality alarm? - ANSWER 1-put all machines in bypass mode
2-notify RN, FA, Biomed
3-if water quality cannot be restored, terminate all treatments
D.A.R.N. - ANSWER Desire
Ability
Reasons
Need
W.E. C.A.R.E - ANSWER Welcome
Empathize
Connect
Actively listen
Respect
Encourage
Fever-when to notify RN - ANSWER a rise in the temperature of the body greater than
100 degrees F or an increase over baseline of 2 degrees F w/ symptoms
Dialysis Disequilibrium Syndrome (DDS) - ANSWER rare but life threatening
complication during initial stage of hemodialysis
prevention-slowing rate of HD. HD can lead to excess fluid in brain, cerebral edema
signs/symptoms-headache, restlessness, seizure
How a patient is to be positioned if they have an air embolism? - ANSWER left side
Trendelenburg
NFACT - ANSWER New fistula assessment and cannulation team
NFACT defines an intermediate cannulator as? - ANSWER at least 6 months of AVF
cannulation experience &
at least 10 successful cannulations on established fistulas
When cannulating, the tips of the needles should be at least - ANSWER 1.5" or the
width of 2 fingers apart
Kt/V - ANSWER K= clearance
T= time
V= volume
Update correct 100%
Number 1 & 2 cause of (CKD) chronic kidney diease - ANSWER 1- diabetes 2-
hypertension
In (AKI) acute kidney injury it is better to keep patients? - ANSWER too wet, rather than
too dry with fluid removal goals
3 sub-groups of ckd? - ANSWER 1-pre-renal-interferes w/ BF to the kidneys, causes-
injuries/renal artery clot
2-intra-renal-damages nephron directly, causes-diabetes/hypertension/PKD
3-post-renal-any condition interfering w/ urine leaving the bladder, causes-kidney
stones/enlarged prostate
Acceptable conductivity range of dialysate? - ANSWER 13-15.5ms
+/- 0.4
Acceptable PH range of bicarb? - ANSWER 6.9-7.6 PH
Hemodialysis (HD) replaces approximately how much of normal kidney function? -
ANSWER 15%
In patients w/ kidney failure, what is recommended to use if they are having issues w/
their skin, such as dryness? - ANSWER hyper fatted/super fatted soaps and lotions
There is no specific tx for a patient w/ peripheral neuropathy, but it is recommended that
a patient should? - ANSWER not walk barefoot
check feet for cuts
test bath water to ensure it is not too hot
Filtration - ANSWER fluid passing through a semi-permeable membrane, controlled by
hydrostatic pressure
EX. coffee filter
Ultrafiltration (UF) - ANSWER controlled fluid removal by manipulation of hydrostatic
pressure
Convection - ANSWER solutes dragged across the semi-permeable membrane along
w/ the fluid
Diffusion - ANSWER the process by which particles (solutes) move from an area of
higher concentration to an area of lower concentration
, normal acid-base balance of the body? - ANSWER 7.35-7.45 PH
How do kidneys control blood pressure? - ANSWER renin-angiotensin system
Primary device used for water purification in dialysis? - ANSWER Reverse Osmosis
3 responses to final water quality alarm? - ANSWER 1-put all machines in bypass mode
2-notify RN, FA, Biomed
3-if water quality cannot be restored, terminate all treatments
D.A.R.N. - ANSWER Desire
Ability
Reasons
Need
W.E. C.A.R.E - ANSWER Welcome
Empathize
Connect
Actively listen
Respect
Encourage
Fever-when to notify RN - ANSWER a rise in the temperature of the body greater than
100 degrees F or an increase over baseline of 2 degrees F w/ symptoms
Dialysis Disequilibrium Syndrome (DDS) - ANSWER rare but life threatening
complication during initial stage of hemodialysis
prevention-slowing rate of HD. HD can lead to excess fluid in brain, cerebral edema
signs/symptoms-headache, restlessness, seizure
How a patient is to be positioned if they have an air embolism? - ANSWER left side
Trendelenburg
NFACT - ANSWER New fistula assessment and cannulation team
NFACT defines an intermediate cannulator as? - ANSWER at least 6 months of AVF
cannulation experience &
at least 10 successful cannulations on established fistulas
When cannulating, the tips of the needles should be at least - ANSWER 1.5" or the
width of 2 fingers apart
Kt/V - ANSWER K= clearance
T= time
V= volume
