DAVITA PCT FINAL EXAM | QUESTIONS AND ANSWERS | VERIFIED
AND WELL DETAILED ANSWERS| EXAM ALREADY GRADED A+|
LATEST UPDATE
Why are dialysis patients at increased risk for acquiring a HAI at the facility? -
CORRECT ANSWER- they are immunosuppressed, it's 2nd most common cause
of death, we have prolonged access to their blood
What is the most common route for transmitting HAIs? - CORRECT ANSWER-
contact
What is the most important intervention against HAIs? - CORRECT ANSWER-
hand hygiene
What germ causes most infections in hemodialysis patients? - CORRECT
ANSWER- MRSA, which can stay on surfaces for days, especially plastic and
vinyl
Why is it so important to wear gloves? - CORRECT ANSWER- reduces the risk
of hand contamination
What are V-tags? - CORRECT ANSWER- interpretive guidance for each state
regulation
What are three strategies to reduce infection of CVCs? - CORRECT ANSWER-
facemasks, clean gloves, avoid touching exposed surfaces
,Who can use handwashing sinks? - CORRECT ANSWER- anyone as long as
they remain solely for handwashing
How can you tell if a sink is for handwashing? - CORRECT ANSWER- it's
labeled clean
What is important to know about Hep B patients? - CORRECT ANSWER-
cannot care for hep B positive and susceptible patients at the same time
What are the risks of performing activities your way? - CORRECT ANSWER- at
risk for civil liability
What is ultrafiltration? - CORRECT ANSWER- fluid pushed by pressure through
a semipermeable membrane
What is convection? - CORRECT ANSWER- solutes draged across a
semipermeable membrane by the movement of water
What is diffusion? - CORRECT ANSWER- particles moving from high to low
concentration
What is osmosis? - CORRECT ANSWER- fluid moving from high to low
concentration
What are the kidneys excretory functions? - CORRECT ANSWER- normalize
electrolytes
,What is the function of bicarbonate in the patient's blood? - CORRECT
ANSWER- normalize body pH
What are the endocrine functions of the kidney? - CORRECT ANSWER- secrete
renin, erythropoietin and calcitriol
The manual conductivity must match the Fresenius dialysis machine displayed
conductivity within... - CORRECT ANSWER- +/- 0.4 mS
Why must we document in the medical record? - CORRECT ANSWER- it's a
permanent legal record
If a patient has swelling in their ankles what should the nurse or PCT (in a state
where they are allowed to assess pre-treatment) do? - CORRECT ANSWER- note
presence of edema in snappy
When is a pre-treatment assessment by the RN always required? - CORRECT
ANSWER- AKI patients require a pre-treament assessment everytime
When are safety checks documented? - CORRECT ANSWER- prior to the start
of treatment
When is post treatment data collection completed? - CORRECT ANSWER- after
treatment termination
, What are possible consequences of poor documentation? - CORRECT
ANSWER- you can be left open to attack on your care
What are three things not included in an REM? - CORRECT ANSWER- personal
opinions, vendettas, speculation
What can cause high arterial pressure alarms? - CORRECT ANSWER- kinking
of the aterial blood tubing between access and monitor
What can cause high venous pressure alarms? - CORRECT ANSWER- clotting in
the drip chamber
Why do we measure pH? - CORRECT ANSWER- to check the acid/base balance
What can happen if dialysate temperature is too high? - CORRECT ANSWER-
hemolysis if greater than 42 degrees celsius
What has to be done when handcranking fluid back during a power outage? -
CORRECT ANSWER- pull the venous line from the clamp
Why is it important to know the cause of your patient's CKD? - CORRECT
ANSWER- to inquire about possible problems during assessment
What do you advise for a CKD patient who complains of dry itchy skin? -
CORRECT ANSWER- use hyper-fatty soaps and lotions
AND WELL DETAILED ANSWERS| EXAM ALREADY GRADED A+|
LATEST UPDATE
Why are dialysis patients at increased risk for acquiring a HAI at the facility? -
CORRECT ANSWER- they are immunosuppressed, it's 2nd most common cause
of death, we have prolonged access to their blood
What is the most common route for transmitting HAIs? - CORRECT ANSWER-
contact
What is the most important intervention against HAIs? - CORRECT ANSWER-
hand hygiene
What germ causes most infections in hemodialysis patients? - CORRECT
ANSWER- MRSA, which can stay on surfaces for days, especially plastic and
vinyl
Why is it so important to wear gloves? - CORRECT ANSWER- reduces the risk
of hand contamination
What are V-tags? - CORRECT ANSWER- interpretive guidance for each state
regulation
What are three strategies to reduce infection of CVCs? - CORRECT ANSWER-
facemasks, clean gloves, avoid touching exposed surfaces
,Who can use handwashing sinks? - CORRECT ANSWER- anyone as long as
they remain solely for handwashing
How can you tell if a sink is for handwashing? - CORRECT ANSWER- it's
labeled clean
What is important to know about Hep B patients? - CORRECT ANSWER-
cannot care for hep B positive and susceptible patients at the same time
What are the risks of performing activities your way? - CORRECT ANSWER- at
risk for civil liability
What is ultrafiltration? - CORRECT ANSWER- fluid pushed by pressure through
a semipermeable membrane
What is convection? - CORRECT ANSWER- solutes draged across a
semipermeable membrane by the movement of water
What is diffusion? - CORRECT ANSWER- particles moving from high to low
concentration
What is osmosis? - CORRECT ANSWER- fluid moving from high to low
concentration
What are the kidneys excretory functions? - CORRECT ANSWER- normalize
electrolytes
,What is the function of bicarbonate in the patient's blood? - CORRECT
ANSWER- normalize body pH
What are the endocrine functions of the kidney? - CORRECT ANSWER- secrete
renin, erythropoietin and calcitriol
The manual conductivity must match the Fresenius dialysis machine displayed
conductivity within... - CORRECT ANSWER- +/- 0.4 mS
Why must we document in the medical record? - CORRECT ANSWER- it's a
permanent legal record
If a patient has swelling in their ankles what should the nurse or PCT (in a state
where they are allowed to assess pre-treatment) do? - CORRECT ANSWER- note
presence of edema in snappy
When is a pre-treatment assessment by the RN always required? - CORRECT
ANSWER- AKI patients require a pre-treament assessment everytime
When are safety checks documented? - CORRECT ANSWER- prior to the start
of treatment
When is post treatment data collection completed? - CORRECT ANSWER- after
treatment termination
, What are possible consequences of poor documentation? - CORRECT
ANSWER- you can be left open to attack on your care
What are three things not included in an REM? - CORRECT ANSWER- personal
opinions, vendettas, speculation
What can cause high arterial pressure alarms? - CORRECT ANSWER- kinking
of the aterial blood tubing between access and monitor
What can cause high venous pressure alarms? - CORRECT ANSWER- clotting in
the drip chamber
Why do we measure pH? - CORRECT ANSWER- to check the acid/base balance
What can happen if dialysate temperature is too high? - CORRECT ANSWER-
hemolysis if greater than 42 degrees celsius
What has to be done when handcranking fluid back during a power outage? -
CORRECT ANSWER- pull the venous line from the clamp
Why is it important to know the cause of your patient's CKD? - CORRECT
ANSWER- to inquire about possible problems during assessment
What do you advise for a CKD patient who complains of dry itchy skin? -
CORRECT ANSWER- use hyper-fatty soaps and lotions
