Davita PCT Final Exam Questions And Answers with Complete Solutions

Davita PCT Final Exam Questions And Answers with Complete Solutions Arterial pressure high alarm causes? - answer✔✔Seperation of tubing How do you know numbing has taken effect? - answer✔✔Blanching of the skin What germ causes the most infections in hemodialysis patients? - answer✔✔MRSA True or false: Squeezing the BP cuff can damage the machine - answer✔✔True What are possible consequences of poor or incomplete documentation? - answer✔✔Attack on your care Chlorine in the water used for hemodialysis causes? - answer✔✔Hemolysis (which releases potassium) Importance of limiting phosphorus/ when to take binders? - answer✔✔Tingling, bone damage, take with meal What is the role of the PCT prior to treatment initiation? - answer✔✔Data Collection What is pericarditis? - answer✔✔inflammation of the sac around the heart Why is wearing gloves so important? - answer✔✔Decreases risk of hand contamination Site rotation/healing time - answer✔✔14 days (2 weeks) How long do we wait after administering the heparin bolus prior to treatment initation? - answer✔✔3-5 minutes When do we test for hardness? - answer✔✔At the end of each day What to use for Dry, itchy skin - answer✔✔hyper fatted soaps and lotions What is the primary cause patients are anemic? - answer✔✔Decreased production of erythropoietin What factors influence v (volume)? - answer✔✔sex, age, weight, height, amputations What is the most important intervention you can do to prevent HAI's? - answer✔✔Hand washing What is included in pericarditis treatment? - answer✔✔Decrease or stop heparin, g ive more frequent dialysis What causes a pyrogen reaction? - answer✔✔Endotoxins in the water What is the most common transmission route for HAI's? - answer✔✔Contact transmission 17: 200 -250 16: 250 -350 15: 350 -450 14: >450 - answer✔✔Needle gauge and sugge sted BFR What do you do if a patient wants to get off early? - answer✔✔educate and document, still draw lab on habitual patients, MUST NOTIFY NURSE Lab draw mistakes that would falsely increase Kt/V - answer✔✔not waiting the full 15 seconds to draw the BUN 4 reasons we document in the medical record - answer✔✔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 - answer✔✔Data collection: before initiation Assessment: 30 minutes into treatment Post treatment data collection/assessments - answer✔✔after treatment -NOT DURING RINSEBACK What are the six items included in charting administered medications? - answer✔✔REASON FOR ADM INISTERING What are the 5 W's to be used when completing an AOR? - answer✔✔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? - answe r✔✔Thirsty