Real PCT davita final exam questions

Real PCT davita final exam questions Which of the following statements is not an underlying assumption of self management Ans- 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 Ans- Dealing with the consequences of the illness rather than just the physical disease its self Andragogy takes into account Ans- 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 Ans- true Vessel mapping should be performed on all new patients when possible Ans- true The goal of vascular mapping is to assure that every new patient receives a fistula if possible Ans- true A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of the access vessel). Ans- inflow The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%. Ans- false 84-98% Venous stenosis is the most common cause of late fistula loss. Ans- 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) Ans- true A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula. Anstrue A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction. Anstrue The most serious catheter related complication is infection Ans- true 3 processes that make up the water treatment system Ans- pre treatment, water-purification, distribution 3 roles of davitas pnp play Ans- a standard of care best demonstrated practice prima facieevidence 4 ways to prevent contributing to excess blood loss Ans- 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 Ans- SMART simple meaningful actual read teach adequacy of dialysis is represented by Ans- kt/v antibiotic that should be administered over a period of at least 60 min Ans- vancomycin what factors influence k Ans- bvp what happens when arterial pressure becomes greater than -260 Ans- hemolysis what happens if total Cl is collected before the minimum time the RO should be operating Ans- rsults could be falsely negative what happens to the TMP if clotting occurs in the dialyzer Ans- it decrease what happens when bleach an parecitc acid are mixed Ans- a toxic cl gas is produced wjat is a good adequacy goal for 3 times per week HD Ans- KTV of atleast 1.2 URR of at least 65% what is KDQOL 36 used Ans- to asses physical health, mental health effects in dialy living symptoms burden of kidney disease what not to include in AOR Ans- personal opinion specu;ation vendettas what shou;d you do if pt needs a bathroom break Ans- return blood and recirculate machine when is a pyrogenic reaction most likely to occur Ans- during the first 45-75 mins when is risidual bleach testing done Ans- after bleach dis infection and prior to use when to chart in medical record Ans- change in baseline assesment or pt condition procedure or treatment medication administration pt teaching care plan when to give hep b booster Ans- when HBsAB drops 10 when to use directing communication Ans- when trainning pts when to use folowing communication Ans- when pt need time to process or digest something when to use guiding communication Ans- when creating an action plan what bacteria requires hand washing instead of alcohol rub Ans- c diff which direction should arterial needle be placed Ans- anti or retro who cares which direction should the venous needle be placed Ans- antegrade with flow of blood who educate pt on treatment modality Ans- neph, SW and CN to evaluate if pt is stable before discharge Ans- nurse must complete post treatment assessment pre treatment required by nurse? Ans- if abnormal findings for AKI pt pretreatment always required if a pt with acute kidney injury dialyses in the out pt facility one task of the pt care TM is to monnitor blood pressure and weight closely why? Ans- HYPOvolemia and HYPO tensives episode can cause RENAL ISCHEMIA and can further damage the kidneys CKD can have its origin pre renal, intra renal, or post renal. which of the following conditions is an intrs renal cause of CKD Ans- hypertension pt with cardiac disease are ten times more likely to experie