Davita PCT Final Exam Questions and Answers 2022/2023

Davita PCT Final Exam Questions and Answers (2022/2023) (Verified Answers), Real Exam 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 change in baseline assesment or pt condition procedure or treatment medication administration pt teaching care plan when to give hep b booster when HBsAB drops 10 when to use directing communication when trainning pts when to use folowing communication when pt need time to process or digest something when to use guiding communication when creating an action plan what bacteria requires hand washing instead of alcohol rub c diff which direction should arterial needle be placed anti or retro who cares which direction should the venous needle be placed antegrade with flow of blood who educate pt on treatment modality neph, SW and CN to evaluate if pt is stable before discharge nurse must complete post treatment assessment pre treatment required by nurse? 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? 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 hypertension pt with cardiac disease are ten times more likely to experience intradailytic hypotension LVH offering a pt this is an example of sodium loading broth what is an intra cellular or intersistial symptom of fluid overload edema this electrolyte is often elevated in pts who experience severe itching phosphorus the kidneys help regulated BP with this renin this hormone stimulates the bone marrow to make red blood cells erythopoieten this electrolyte aids in clotting, nerve impluse transmission, muscle contractions and bone formation calcium