Davita PCT Final Exam Version Test 2022/2023
1. what treatment factors decrease K in the Kt/v to decrease(answer) not
waiting 3-5 minutes after heparin, decreasing BFR, DFR, and BVP
2. what factors influence "V" in Kt/v: accurate data entry by nurses in
snappy, sex age, weight, and amputation
3. what are the needle gauges and prescribed blood flow rates(answer)
they are inversely related
17g 200-250
15g 250-350
15g 350-400
14 g 400 – 450
4. what is the procedure for post BUN lab draw(answer) if pt wants off
early, still draw the labs and educate patient about the risks. Redraw
next time a pt runs full tx to show pt difference
5. what lab draw mistakes would falsely increase Kt/V: not waiting the
full 15 seconds
6. What is important when monitoring weight and BP in AKI
patients(answer) keep patients wet (hydrated) and avoid hypotensive
episodes = cause renal ischemia
7. What do you need to consider in regards to CVCs(answer) follow P&P
b/c the risk of infection is so high
,8. Why is it important to know what caused a patients chronic renal
failure?-
: we need to know about possible problems during data collection and
assessment
9. What is the role of the PCT prior to tx initiation(answer) assessment
of pt if any abnormal findings or if the pt is in an acute condition
10.what happens in the BP cuff is the wrong size: loose BP--> high
reading tight BP --> low reading
11.why is it so bad to squeeze the BP cuff if its connected to the
machine(answer) it can damage the internal BP mechanism
12.Why is it so important that we document in the medical record(answer)
it provides data for continuity and planning of care
13.when do pre-treatment data collection and assessment take
place(answer) col- lection: before tx
assessment: w/in 1 hr if pt is stable
14.when is post-treatment data collection and assessment
performed(answer) post treatment-- not before treatment or when they
are disconnected
, 15.what are the consequences of poor or incomplete documentation:
can open attack on your care
16.What are the six items needed in charting meds(answer) 1. med/dosage
2. date/time
3. route
4. reason (remember this!)
5. pt response
6. signature
17.What are the 5 Ws to be used when completing an
AOR(answer) who what
when
wher
e
why
how
18.What are the 4 consequences of sodium loading during
dialysis(answer) 1. increased thirst
2. increased fluid intake
3. increased intradialytic weight gain = htn
4. increased UFR
19.what is the purpose of UF profiling(answer) change the way fluid is
remodeled during the tx and allows for vascular refilling
20.what are the consequences of hypovolemia during tx(answer)
attempting to re- move a lot of fluid --> hypovolemia during tx -->
loss of renal function, ischemia, and increased mortality rate
21. what must the machine's conductivity and pH reading supposed to be?-
: machine and manual conductivity: w/in +/-0.4
pH range: 6.9 - 7.6, measured to verify acid/base balance is in
acceptable range
1. what treatment factors decrease K in the Kt/v to decrease(answer) not
waiting 3-5 minutes after heparin, decreasing BFR, DFR, and BVP
2. what factors influence "V" in Kt/v: accurate data entry by nurses in
snappy, sex age, weight, and amputation
3. what are the needle gauges and prescribed blood flow rates(answer)
they are inversely related
17g 200-250
15g 250-350
15g 350-400
14 g 400 – 450
4. what is the procedure for post BUN lab draw(answer) if pt wants off
early, still draw the labs and educate patient about the risks. Redraw
next time a pt runs full tx to show pt difference
5. what lab draw mistakes would falsely increase Kt/V: not waiting the
full 15 seconds
6. What is important when monitoring weight and BP in AKI
patients(answer) keep patients wet (hydrated) and avoid hypotensive
episodes = cause renal ischemia
7. What do you need to consider in regards to CVCs(answer) follow P&P
b/c the risk of infection is so high
,8. Why is it important to know what caused a patients chronic renal
failure?-
: we need to know about possible problems during data collection and
assessment
9. What is the role of the PCT prior to tx initiation(answer) assessment
of pt if any abnormal findings or if the pt is in an acute condition
10.what happens in the BP cuff is the wrong size: loose BP--> high
reading tight BP --> low reading
11.why is it so bad to squeeze the BP cuff if its connected to the
machine(answer) it can damage the internal BP mechanism
12.Why is it so important that we document in the medical record(answer)
it provides data for continuity and planning of care
13.when do pre-treatment data collection and assessment take
place(answer) col- lection: before tx
assessment: w/in 1 hr if pt is stable
14.when is post-treatment data collection and assessment
performed(answer) post treatment-- not before treatment or when they
are disconnected
, 15.what are the consequences of poor or incomplete documentation:
can open attack on your care
16.What are the six items needed in charting meds(answer) 1. med/dosage
2. date/time
3. route
4. reason (remember this!)
5. pt response
6. signature
17.What are the 5 Ws to be used when completing an
AOR(answer) who what
when
wher
e
why
how
18.What are the 4 consequences of sodium loading during
dialysis(answer) 1. increased thirst
2. increased fluid intake
3. increased intradialytic weight gain = htn
4. increased UFR
19.what is the purpose of UF profiling(answer) change the way fluid is
remodeled during the tx and allows for vascular refilling
20.what are the consequences of hypovolemia during tx(answer)
attempting to re- move a lot of fluid --> hypovolemia during tx -->
loss of renal function, ischemia, and increased mortality rate
21. what must the machine's conductivity and pH reading supposed to be?-
: machine and manual conductivity: w/in +/-0.4
pH range: 6.9 - 7.6, measured to verify acid/base balance is in
acceptable range
