DaVita PCT final exam questions And
Answers (Real Exam) Answered Fall 2022
Which of the following statements is not an underlying assumption of self
management
People with complex chronic kidney conditions such ass ESRD have more difficulties
with successful self management
Which of the following is a basic principle of self management
Dealing with the consequences of the illness rather than just the physical disease its
self
Andragogy takes into account
That adults desire to take responsibility for what they learn
In order to detect problems as early as possible a thorough evaluation of a new
fistula four to six weeks after creation should be considered mandatory
true
Vessel mapping should be performed on all new patients when possible
true
The goal of vascular mapping is to assure that every new patient receives a
fistula if possible
true
A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the
blood from flowing out of the access vessel).
inflow
The salvage (success) rates for endovascular therapy in early AV fistula failure
cases are around 20%.
false 84-98%
Venous stenosis is the most common cause of late fistula loss.
true
Persistent swelling of the access arm and prolonged bleeding after needle
withdrawal are signs of an inflow stenosis (inability for blood to enter the access)
true
A secondary AV fistula is defined as a fistula that is created following the failure
of a graft or fistula.
true
A catheter that is not able to deliver at least 400 ml/minute should be evaluated
for dysfunction.
true
The most serious catheter related complication is infection
true
3 processes that make up the water treatment system
pre treatment,
water-purification,
distribution
3 roles of davitas pnp play
, a standard of care best demonstrated practice prima facieevidence
4 ways to prevent contributing to excess blood loss
eveluate effectiveness of of heparin
rinse back blood till lines are pink
hold acess site forappropriate time
dont waste blood in redraws
acronym used when communicating
SMART
simple
meaningful
actual
read
teach
adequacy of dialysis is represented by
kt/v
antibiotic that should be administered over a period of at least 60 min
vancomycin
what factors influence k
bvp
what happens when arterial pressure becomes greater than -260
hemolysis
what happens if total Cl is collected before the minimum time the RO should be
operating
rsults could be falsely negative
what happens to the TMP if clotting occurs in the dialyzer
it decrease
what happens when bleach an parecitc acid are mixed
a toxic cl gas is produced
wjat is a good adequacy goal for 3 times per week HD
KTV of atleast 1.2
URR of at least 65%
what is KDQOL 36 used
to asses physical health, mental health effects in dialy living symptoms burden of kidney
disease
what not to include in AOR
personal opinion
specu;ation
vendettas
what shou;d you do if pt needs a bathroom break
return blood and recirculate machine
when is a pyrogenic reaction most likely to occur
during the first 45-75 mins
when is risidual bleach testing done
after bleach dis infection and prior to use
when to chart in medical record
Answers (Real Exam) Answered Fall 2022
Which of the following statements is not an underlying assumption of self
management
People with complex chronic kidney conditions such ass ESRD have more difficulties
with successful self management
Which of the following is a basic principle of self management
Dealing with the consequences of the illness rather than just the physical disease its
self
Andragogy takes into account
That adults desire to take responsibility for what they learn
In order to detect problems as early as possible a thorough evaluation of a new
fistula four to six weeks after creation should be considered mandatory
true
Vessel mapping should be performed on all new patients when possible
true
The goal of vascular mapping is to assure that every new patient receives a
fistula if possible
true
A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the
blood from flowing out of the access vessel).
inflow
The salvage (success) rates for endovascular therapy in early AV fistula failure
cases are around 20%.
false 84-98%
Venous stenosis is the most common cause of late fistula loss.
true
Persistent swelling of the access arm and prolonged bleeding after needle
withdrawal are signs of an inflow stenosis (inability for blood to enter the access)
true
A secondary AV fistula is defined as a fistula that is created following the failure
of a graft or fistula.
true
A catheter that is not able to deliver at least 400 ml/minute should be evaluated
for dysfunction.
true
The most serious catheter related complication is infection
true
3 processes that make up the water treatment system
pre treatment,
water-purification,
distribution
3 roles of davitas pnp play
, a standard of care best demonstrated practice prima facieevidence
4 ways to prevent contributing to excess blood loss
eveluate effectiveness of of heparin
rinse back blood till lines are pink
hold acess site forappropriate time
dont waste blood in redraws
acronym used when communicating
SMART
simple
meaningful
actual
read
teach
adequacy of dialysis is represented by
kt/v
antibiotic that should be administered over a period of at least 60 min
vancomycin
what factors influence k
bvp
what happens when arterial pressure becomes greater than -260
hemolysis
what happens if total Cl is collected before the minimum time the RO should be
operating
rsults could be falsely negative
what happens to the TMP if clotting occurs in the dialyzer
it decrease
what happens when bleach an parecitc acid are mixed
a toxic cl gas is produced
wjat is a good adequacy goal for 3 times per week HD
KTV of atleast 1.2
URR of at least 65%
what is KDQOL 36 used
to asses physical health, mental health effects in dialy living symptoms burden of kidney
disease
what not to include in AOR
personal opinion
specu;ation
vendettas
what shou;d you do if pt needs a bathroom break
return blood and recirculate machine
when is a pyrogenic reaction most likely to occur
during the first 45-75 mins
when is risidual bleach testing done
after bleach dis infection and prior to use
when to chart in medical record
