DAVITA PCT EXAM QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS

What is important when monitoring weight and BP for acute patients? - keep patients wet to avoid hypotensive episodes What do you need to consider in regards to acute patents vascular access? - 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 2. Provides data continuity and planning of patient care 3. Permanent legal record 4. Communication tool Pre-treatment patient data collection/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 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