DaVita PCT final exam (Answered) Final Exam 2022
(Verified Solution)
what is the difference between data collection and assessment? who does what?
data collection:yes or no
assessment: the extend.
what is the role of pct prior to treatment initiation?
data collection notify nurse of any abnormalities
what is the role of the licensed nurse prior to treatment initiation?
nurse assessment
when us a pre-treatment assessment by the licensed nurse required?
if vitals were abnormal
when is post treatment assessment by the licensed nurse required?
up normalities during treatment.
note about bp
squeezing the auto blood pressure cuff to speed deflation can damage machine internal
bp module.
why do we document in the medical record? 4 reasons
1.proof that care was rendered
2.provide data continuity
3.permnent legal record
4.communication tool
list 6 occurrences when to chart?
1.change from baseline assessment
2.change in patient condition
3.procedure for treatment
4.medication given
5.patient teaching
6.care plan review and intervention
pre-treatment data collection/ assessment
before treatment intuition
assessment within one hour if pt is stable for nurse
post treatment data collection/assessment
post treatment only
what are possible consequence of proof or incomplete documentation?
poor or incomplete documentation can open an attack on your care
what are the 6 items included in charting administered
1.medication dosage
2.data and time
3.route for administeration
4.pt response
5.signiture of teammate adminsteration
6.allergies always check the allergy screen in screen in falcon for a list of your pt.
how do you document charting errors
single line sign and date
what does SMART communication stand for
, Simple and clear
Meaningful
Actual
Read
Teach
what are the 5 w's to be used when completing an AOR
what
where
who
when
why
what are the four consequence of sodium loading during dialysis
.thirst
2.fuid intalle
3.idwg;headaches +hypertenstion
4.ufr
what treatment factors decreases K?
not waiting 3-5 minutes after giving Heprin
what factors influence V?
on average a persons body composed of 50-55 % water.
a person height weight sex,age and amputation are included in calculating V
lab draw mistakes that would falsely increase kt/v?
not waiting 15 second
when is post treatment blood sample draw too high?
waiting only 5 seconds between lowering the blood pump speed and drawing post
treatment blood sample would cause the kt/v reading to be too high
is it okay for pt to come off early on lab day?
If pt wants to get off early educate pt risk involved.and still draw lab and re-draw on full
treatment (every time)
what is important when monitoring weight and bp?
acute patient only-keep pt wet and avoid hypotensive episodes.
what do you need to consider in regards to their vascular access?
follow p and p to prevent infection
why is it important to know what caused your patients CRF?
its important to know to help inquire about possible problem during data collection and
assessment.
what is the purpose of uf profilling?
purpose of uf profiling the way fluid removed during treatment allow time for vascular
refilling
what are consequence if patient is consistently fluid overloaded(hypervolemia)?
hypertension, left ventricular hypertrophy, cardiovascular disease
what can cause hypovolemia ?
attempting to remove large amount of fluid weight for patient can lead to hypovolemia
what are conductivity and ph alarm causes?
machine conductivity ad manual reading can be no greater or less then 0.4 difference.
after test use phenix meter to:
(Verified Solution)
what is the difference between data collection and assessment? who does what?
data collection:yes or no
assessment: the extend.
what is the role of pct prior to treatment initiation?
data collection notify nurse of any abnormalities
what is the role of the licensed nurse prior to treatment initiation?
nurse assessment
when us a pre-treatment assessment by the licensed nurse required?
if vitals were abnormal
when is post treatment assessment by the licensed nurse required?
up normalities during treatment.
note about bp
squeezing the auto blood pressure cuff to speed deflation can damage machine internal
bp module.
why do we document in the medical record? 4 reasons
1.proof that care was rendered
2.provide data continuity
3.permnent legal record
4.communication tool
list 6 occurrences when to chart?
1.change from baseline assessment
2.change in patient condition
3.procedure for treatment
4.medication given
5.patient teaching
6.care plan review and intervention
pre-treatment data collection/ assessment
before treatment intuition
assessment within one hour if pt is stable for nurse
post treatment data collection/assessment
post treatment only
what are possible consequence of proof or incomplete documentation?
poor or incomplete documentation can open an attack on your care
what are the 6 items included in charting administered
1.medication dosage
2.data and time
3.route for administeration
4.pt response
5.signiture of teammate adminsteration
6.allergies always check the allergy screen in screen in falcon for a list of your pt.
how do you document charting errors
single line sign and date
what does SMART communication stand for
, Simple and clear
Meaningful
Actual
Read
Teach
what are the 5 w's to be used when completing an AOR
what
where
who
when
why
what are the four consequence of sodium loading during dialysis
.thirst
2.fuid intalle
3.idwg;headaches +hypertenstion
4.ufr
what treatment factors decreases K?
not waiting 3-5 minutes after giving Heprin
what factors influence V?
on average a persons body composed of 50-55 % water.
a person height weight sex,age and amputation are included in calculating V
lab draw mistakes that would falsely increase kt/v?
not waiting 15 second
when is post treatment blood sample draw too high?
waiting only 5 seconds between lowering the blood pump speed and drawing post
treatment blood sample would cause the kt/v reading to be too high
is it okay for pt to come off early on lab day?
If pt wants to get off early educate pt risk involved.and still draw lab and re-draw on full
treatment (every time)
what is important when monitoring weight and bp?
acute patient only-keep pt wet and avoid hypotensive episodes.
what do you need to consider in regards to their vascular access?
follow p and p to prevent infection
why is it important to know what caused your patients CRF?
its important to know to help inquire about possible problem during data collection and
assessment.
what is the purpose of uf profilling?
purpose of uf profiling the way fluid removed during treatment allow time for vascular
refilling
what are consequence if patient is consistently fluid overloaded(hypervolemia)?
hypertension, left ventricular hypertrophy, cardiovascular disease
what can cause hypovolemia ?
attempting to remove large amount of fluid weight for patient can lead to hypovolemia
what are conductivity and ph alarm causes?
machine conductivity ad manual reading can be no greater or less then 0.4 difference.
after test use phenix meter to:
