DaVita PCT Final Exam Review

DaVita PCT Final Exam Review 2022/2023 1. Abnormalities in calcium, phosphorus, parathyroid hormone and Vitamin D metabolism with soft tissue calcification and bone disease.(answer) CKD-MBD (p. 171) 2. These meds are taken with all meals and snacks(answer) Phosphate binders 3. S/S of excess sodium intake(answer) Increased thirst & hypertension 4. Eating foods high in causes extreme muscle weakness & abnormal heart rhythm(answer) Potassium 5. This protein is essential for growth, maintenance, preventing infection and anemia(answer) Albumin 6. Recommended distance between needle tips(answer) 1.5 inches 7. This best practice prevents the formation of aneurysms & pseudoa- neurysms(answer) Good needle site rotation 8. The 3 steps in a vascular access assessment(answer) Look, Listen, Feel 9. This technique causes bleeding at needle sites during dialysis(answer) Flipping or over-manipulating needles 10. This cannulator has at least 6 months of AV access cannulation experi- ence and at least 10 successful cannulations on established fistulae(answer) NFACT intermediate cannulator (p. 315) 11. Stretching the affected muscle is an appropriate intervention for ?(answer) muscle cramps 12. how to position the patient to treat air embolism(answer) left side trendelenburg 13. This HD complication is associated w/ increased mortality rate(answer) Hypoten- sion during treatment 14. Patients who are skipping treatments are at risk for this(answer) Dialysis Disequi- librium Syndrome 15. Pain at the venous needle site, tingling around the lips and difficulty breathing are symptoms of ?(answer) disinfectant infusion 16. The best way to help patients successfully change behaviors(answer) Inspire change through support, compassion and empathy 17. The degree to which individuals understand basic health information is called ?(answer) Health Literacy 18. Dealing with the consequences of illness rather than just the physical disease is a basic principle of ?(answer) patient self management 19. The automatic intervention of a healthcare practitioner who observes a patient doing something detrimental to his health(answer) Righting Reflex 20. Use word associations and mnemonics for this type of learner(answer) auditory learner 21. The most common infection in dialysis patients(answer) Access infection 22. The most common route by which pathogens are transmitted in health- care settings(answer) Contact transmission 23. The single most important intervention in preventing HAIs in healthcare- (answer) Handwashing 24. This bacteria can remain on surfaces for days with plastic and vinyl being most favorable to their survival(answer) Viable MRSA bacteria 25. This test is performed monthly on patients susceptible for Hepatitis B(answer) HbsAg 26. The time the RO must be running prior to performing the first chlo- rine/chloramine test(answer) 15 minutes 27. Works only with a sufficient amount of salt pellets(answer) water softener 28. First response to a Final Water Quality alarm(answer) Place all machines in BY- PASS 29. A complication when patient's blood is exposed to chlorine/chloramines- (answer) Hemolysis 30. These tanks produce highly dangerous water when exhausted(answer) DI tanks 31. Being "wet" is better than being too dry in patients with this type of kidney disease(answer) The target weight in a patient with AKI 32. The acronym for the 5 rights of medication administration(answer) TRAMP Time, Route, Amount, Medication, Patient 33. Davita policy allows PCTs to administer these 3 medications(answer) 0.9% Sodi- um Chloride, Heparin & Lidocaine 34. The method used to protect against infection by pathogenic microorgan- isms when preparing and administering medications(answer) Aseptic technique 35. Medications containing a preservative must be discarded at this time after opening(answer) 28 days 36. The time frame during which single dose medications should be prepared and administered per DaVita P&P(answer) 4 hours 37. The most common methods used to prevent clotting while the blood is in the extracorporeal circuit(answer) Anticoagulation with Heparin 38. Waiting time after administration of initial heparin loading dose prior to initiation of HD(answer) 3-5 minutes 39. Clotting in the dialyzer causes this change in venous pressure(answer) A de- crease 40. This acid concentrate contains a small amount of anticoagulant & can be used for patients in whom Heparin is contraindicated(answer) Citrasate or CitraPure 41. A frequent cause of prolonged bleeding post-dialysis(answer) Outflow stenosis 42. Method to ascertain needle is not in blood vessel when administering intradermal lidocaine(answer) Pulling back on the plunger 43. topical skin anesthetic patients apply at home(answer) EMLA cream 44. Method prior to cannulation to prevent access infections when a patient has applied topical EMLA cream at home(answer) Wiping off EMLA cream completely 45. The appropriate time to clean the VA cannulation sites when using a topical anesthetic spray(answer) Before applying the spray 46. The sign that numbing has taken effect and it is time to stop spraying topical anesthetic onto VA cannulation sites(answer) When there is blanching of the skin 47. Stimulates bone marrow to produce RBCs(answer) Epogen 48. This med supports the formation of RBCs(answer) Venofer (IV Iron) 49. Medication indicated for the prevention of excessive PTH production in dialysis patients(answer) Vitamin D (Hectorol, Zemplar, Calcitriol) 50. Medication used to treat thrombosis-related CVC occlusion(answer) Cathflo Acti- vase 51. Antibiotic that should be administered over a period of at least 60 min- utes(answer) Vancomycin 52. Patients should take this vitamin after dialysis to prevent meds that are water soluble from being dialyzed out(answer) Nephrocaps (vitamins) 53. This med is taken with meals(answer) Phosphorus binders 54. This med is used to increase the clotting time in patients with arrhyth- mias, prosthetic valves or clotting disorders(answer) Coumadin