DaVita PCT Final Exam Patient Care Technician Certification Verified Real Exam Questions and Correct Answers

DaVita PCT Final Exam Patient Care Technician Certification Verified Real Exam Questions and Correct Answers The Clinical Pyramid includes : - ANSWER -• The Fundamentals: Immunizations, Iron, Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex Programs: Fluid Management, Infection Management, Diabetes Management, Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance, Transition of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient Experience of Care• What Matters Most • Our patient's health-related Quality of Life DaVita Quality Index (DQI) success is achieved - ANSWER -encourage continuous improvement across aboard range of disease management processes (all of the above ) What can be the most likely result if the surveyor sees a patient with a covered vascular access - ANSWER -immediate jeopardy A surveyor asks you a question. Which of the following statements would be a good ANSWER ? - ANSWER -I do not know the ANSWER but I will find out. Intra-renal causes of AKI - ANSWER -Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open Heart Surgery Knowing what caused your patients kidney failure - ANSWER -can cause complications to treatment A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the patients target weight, why is being "wet" better that being too dry? - ANSWER - The excretory function of the kidneys include - ANSWER -remove access water, urea, and metabolic wastes from the blood. Acid concentrate replaces the excretory function of normal kidney function by - ANSWER -Hemodialysis removes urea, salts, and excess water from the blood normalizing electrolytes, removes metabolic acidosis, Ultrafiltration is defined as - ANSWER -controlled fluid removed by manipulation of hydrostatic pressure The endocrine functions of the kidneys are - ANSWER -Renin and erythropoietin secretion ,activation of vitamin D Dialysis replaces only ___ percent of normal kidney function. - ANSWER -15% The most common infectious complication for hemodialysis patients is - ANSWER -centenal line infections What is one method surveyors used to verify infection control training and education ? - ANSWER -patient interview Which infectious disease requires frequent handwashing instead of using alcohol based hand gels? - ANSWER -Active Clostridioides difficile infection C.diff Per the Centers for Disease Control and Prevention (CDC), which is the most important route by which pathogens are transmitted in health care setting including dialysis centers. - ANSWER -contact transmission V-tags cite deficiencies, provide interpretive guidance, and provide a condition that must be met for each regulation. How can knowledge of V-tags affect the practice of patient care providers? - ANSWER -all of the above Why is meticulous hand hygiene so important in healthcare? - ANSWER -its the single most important intervention in preventing HAI's If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be appropriate patient care assignment. - ANSWER -caring for HBsAG positive and hepatitis B susceptible patients at the same time Per The centers for disease control prevention, which is the most common factor contributing to bacterial infections in dialysis patients? - ANSWER -the use of catheters for hemodialysis upon completing machine set up and before treatment initiation it is important to verify the prescription and machine settings: - ANSWER -both b and c What should be done to the heparin infusion line if a patient does not have maintenance (hourly)heparin prescribed? - ANSWER -Clamp and knot the heparin line. what type of blood/dialysate flow within the dialyzer increases the rate of diffusion providing optimal dialysis for patients ? - ANSWER -concurrent flow When is a pre-treatment assessment by the licensed nurse required? - ANSWER -⁃ when it is mandated by 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 nurse observes initial behavior a PCT greets a patient and the patient reports feeling short of breath. The PCT notices that the patients lips have a blue hue. The PCT would: - ANSWER Complete data collection and PCT must notify the RN if there are any abnormal findings prior to initiation of tx In those states that do not require a nursing assessment to be completed prior to treatment initiation, the PCT would be required to report abnormal patient data collection findings. - ANSWER -yes