PCT Davita Theory Final Updated Exam Questions With Complete Solution

PCT Davita Theory Final Updated Exam Questions With Complete Solution what makes dialysis patients more susceptible to HAIs? - CORRECT ANSWER kidney failure makes patients immuno-suppressed Why are dialysis patients at increased risk for acquiring a HAI at the facility? - CORRECT ANSWER bacterial vascular access infections are the most frequent infectious complications & HD procedure requires prolonged access to pt's blood what is the difference between OSHA & CMS infection control requirements? - CORRECT ANSWER OSHA: requires employers to provide *workers* w/ a safe workplace CMS: is concerned w/ *patient* care & safety What are V-tags & why are they important? - CORRECT ANSWER CMS regulations & interpretive guidance related to infection control What is the most common transmission route for HAIs? - CORRECT ANSWER contact transmission What is the most important intervention you can do to prevent HAIs? - CORRECT ANSWER hand washing & hygiene What is the most common infectious complication in hemodialysis patients? - CORRECT ANSWER vascular access CVC - highest rate of bacteremia What germ causes the most common infections in hemodialysis patients - CORRECT ANSWER MRSA b/c it lives a long time & likes plastic Why is wearing gloves so important? - CORRECT ANSWER protects you & prevents spread of disease Why do you need to perform hand hygiene before and after wearing gloves? - CORRECT ANSWER b/c they are porous, have microscopic holes When are sharps containers being removed from the treatment floor? - CORRECT ANSWER when 3/4 full State the 3 strategies recommended by KDOQI to decrease the risk of infection when working with a CVC - CORRECT ANSWER 1. use of surgical masks for both teammate & patient 2. wearing clean gloves 3. minimizing time lumens or exit site are exposed Who can use sinks dedicated for hand washing? - CORRECT ANSWER teammates & patients what is the correct procedure in regards to your hands when you have casual contact w/ a patient? - CORRECT ANSWER gloves not necessary, but must perform hand hygiene after Explain the HBV nomenclature and state which test is performed monthly on HBV susceptible patients - HBsAg: - CORRECT ANSWER Hepatitis B surface antigen detects presence of Hep B virus, if +, pt has Hep B. susceptible pt's are tested monthly Explain the HBV nomenclature and state which test is performed monthly on HBV susceptible patients - Anti-HBs - CORRECT ANSWER Hep B surface antibody asking how many antibodies? if /= 10, protected from the vaccine Explain the HBV nomenclature and state which test is performed monthly on HBV susceptible patients - Total Anti-HBc - CORRECT ANSWER Hep B Core antibody develops after exposure ultrafiltration - CORRECT ANSWER controlled fluid removal by manipulation of hydrostatic pressure convection - CORRECT ANSWER solutes are dragged across the convection - CORRECT ANSWER solutes are dragged across the semi-permeable membrane along with fluid Osmosis - CORRECT ANSWER fluid moves from an area of lower concentration to higher solute concentration What are the kidney's excretory functions? - CORRECT ANSWER Fluid balance, electrolyte balance, waste removal, acid/base balance What are the kidney's excretory functions? - CORRECT ANSWER Fluid balance, electrolyte balance, waste removal, acid/base balance