PCT Basic #3 Questions Answered 100% correct

PCT Basic #3 Questions Answered 100% correct If a patient with acute kidney injury dialysis in the outpatient facility, one task of the patient care teammates is to monitor blood pressure and weight closely. Why is this important? Hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys. Chronic renal failure can have its origin pre-renal, intra-renal, or post renal. Which of the following conditions is an intra-renal cause of CRF? Hypertension Knowing what caused your patient's CRF Is important because the underlying disease could cause health complications that can impact the dialysis treatment. Fluid overload and hypertension lead to left ventricular hypertrophy. This means Hypotensive episodes are more likely to occur during the dialysis treatment. Your role in CKD-MKD management includes Reminding the patient who is eating a snack during dialysis to take his phosphate binder. Your role in anemia management includes Rinsing back as much of the patient's blood as you can at the termination of each treatment. The transport mechanism when particles move from an area of higher solute concentration to an area of lower solute concentration is called Diffusion The kidneys excretory functions include normalizing electrolytes What precautions must be used when handling and packaging lab specimen? Universal precautions Lavender tubes must be inverted a minimum of 8 to 10 times to properly mix and avoid clotting If a tube breaks Discard the sleeve and remove the opposing sleeve When is a pre-treatement assessment by the licensed nurse required? When it is mandated by the state. When the PCT performing a data collection notices abnormal findings. When the patient reports unusual symptoms to the nurse prior to treatment initiation. When the nurse observes unusual behaviors in a patient entering the treatment floor. If a patient had an adverse reaction within the first couple of minutes after treatment initiation, yet no pre-treatment data has been entered into the computer There is no proof that pre-treatment safety checks were completed or that the patient had been properly assessed. Which of the following is a Data Collection? Heart rate: 72 Which of the following factors would influence the K of the kt/v formula? Blood volume processed (BVP) It is important that patients stay for their entire treatment time because adequate dialysis replaces Less than 15% of normal kidney function Waiting only five seconds between lowering the blood pump speed and drawing the post treatment blood sample could Cause the kt/v reading to be falsely high What is your main priority when returning a patient's blood with the hand crank during a power outage You must be vigilant in watching for air in the blood lines Your patient dialysis sizes for 4 hours with a blood pump speed of 400 ml per minute what is his calculated blood volume processed (bvp) at the end of the treatment 96,000 ml or 96 liters What problem will cause an increase in the patient's venous pressure? A clot in the drip chamber. A patient's protein status is affected by nutritional and non-nutritional factors. What can you do to prevent a drop in your patient's albumin? Prevent healthcare associated infections HAIs. calciphylaxis is a consequence of which out range labs Calcium, Phosphorus, and PTH How do phosphate binders work? they prevent the phosphorus in food from being absorbed when taken with meals What are the Conditions for Coverage? CMS regulations that dialysis providers must meet to become and stay certified What can ben the most likely result if the surveyor sees a patient with a covered vascular access? An immediate jeopardy To assist in survey readiness you should Know and follow policies and procedures. Be accountable and take initiatives. Live out our Mission and Core values. What is the most frequent infectious complication in dialysis patients? Bacterial vascular access infections Which infectious disease requires frequent hand washing instead of using alcohol based hand gels? Active clostridium difficile infection Contact transmission is the most important route through which infections are spread. Contact transmission is defined as Transmission of microorganisms through healthcare workers hands. When a PCT documents the extend of a patient's edema, for example as +3 The PCT is performing an assessment which is not allowed legally. When a patient has an irregular heartbeat the automated oscillometric blood pressure reading may not be accurate A patient presents with an elevated temperature an hour after the initiation of dialysis. This is most likely due to A pyrogenic reaction. The nephrologist has written orders to begin cannulating a patient's new AVF. Per NFACT, only advanced cannulators are to start to insert needles into a new AVF. Who is the correct teammate to cannulate the AVF Lilly has completed all competencies listed on NFACT skills checklist and also has expert assessment and cannulation skills documented. The nephrologist has ordered 16 gauge needles and a 400 BFR for your patient. You Ask the nephrologist to order 15 gauge needles for the ordered BFR. Your patient prefers two places on her AVG to insert the needles because they hurt a lot less than when you cannulate different sites. You tell the patient Inserting the needles into the same small area can over the damage your graft. What treatment options are available for ERSD? Kidney transplant. Dialysis HD/PD. Palliative Care. What are the 2 types of Peritoneal Dialysis PD? CAPD and CCPD What are the types of home Hemodialysis HHD? Conventional, short daily, nocturnal, solo Which is an underlying assumption of self-management? People who understand and take control of their condition will be healthier and happier. To provide helpful information and training care providers must be aware of the Patients health literacy Which of the following may distract a visual learner's attention? Providing background music Why are thirst control and limiting intradialytic weight gains a shared responsibility between the healthcare team and the patient Care givers can contribute to sodium loading during dialysis causing increased thirst and fluid intake between treatments. Preventing hypotension episodes during the dialysis treatment is important because they are associated with A higher mortality rate. What does the term "Wet Crash" mean? fluid overload over stretches the heart muscle tissue resulting in a decreased cardiac output and low blood pressure Why is Carbon Filter off-line monitoring so important? There are no lights or alarms to indicate they are exhausted. What is the acceptable limit for Total Chlorine in the water leaving the carbon filter? 0.1 mg/L or less Which is the primary device for purifying the water used in dialysis? The reverse osmosis. Single dose medications should be prepared and administered within 4 hours When a patient requests Pain Ease spray to numb the cannulation sites the appropriate time to clean the sites is Before applying the spray. Your patient asks whether it is OK to take an over-the-counter cold remedy. What is your appropriate response? Let's ask your nephrologist what she recommends will be a safe medication for you. Your patient complains of ringing in the ears, being nauseated and having cold clammy skin. The most likely cause is Hypotension What is a likely cause for dysrhythmias irregular heartbeat? Hypotension, heart disease, or rapid changes in serum potassium. In what position should you place a patient who experiences intradialytic hypotension? Flat supine The Guiding Communication style is best used To help patients find their own solutions When a healthcare practitioner automatically intervenes when observing a patient doing something detrimental to his health The healthcare practitioner gave in to the righting reflex. Behavior change is best elicited through Understanding the patient's motivations.