DAVITA PCT EXAM LATEST ACTUAL EXAM
What is important when monitoring weight and BP for acute patients? - ANSWER:
keep patients wet to avoid hypotensive episodes
What do you need to consider in regards to acute patents vascular access? -
ANSWER: Usually have a CVC
- follow policy and procedure to prevent infections
Why is it important to know what caused your patient's CKD? - ANSWER: to inquire
about possible problems during data collection and assessments
Kt/V: What is K? - ANSWER: clearance of urea
What treatment factors decrease K? - ANSWER: not waiting 3-5 minutes after giving
heparin with treatment initiation to prevent clotting
What factors influence V (volume)? - ANSWER: sex, age, weight, height,
amputations
Needle gauge and suggested BFR - ANSWER: 17: 200-250
16: 250-350
15: 350-450
14: >450
What do you do if a patient wants to get off early? - ANSWER: educate and
document, still draw lab on habitual patients, MUST NOTIFY NURSE
Lab draw mistakes that would falsely increase Kt/V - ANSWER: not waiting the full
15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation? - ANSWER: DATA
COLLECTION
Squeezing the BP cuff can damage the machine: T/F - ANSWER: True
4 reasons we document in the medical record - ANSWER: 1. proof that care was
rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Pre-treatment patient data collection/assessment - ANSWER: Data collection:
before initiation
Assessment: 30 minutes into treatment
, Post treatment data collection/assessments - ANSWER: after treatment
-NOT DURING RINSEBACK
What are possible consequences of poor or incomplete documentation - ANSWER:
attack on your care
What are the six items included in charting administered medications? - ANSWER:
REASON FOR ADMINISTERING
What are the 5 W's to be used when completing an AOR - ANSWER: who should
report an AOR
what type of incident
when should it be reported
where should they be reported
why
What are the four consequences of sodium loading during dialysis? - ANSWER:
Thirsty
Increase Fluid Intake
Increased intradialytic weight gain
Increased ultrafiltration rate
What is the purpose of UF profiling? - ANSWER: fit to the patient to prevent
crashing and allow for vascular refill
Why do we measure the pH in the dialysate - ANSWER: to verify acid-base balance
is within an acceptable range
Conductivity and pH alarm causes - ANSWER: no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
Temperature alarm causes - ANSWER: lower temperature, increases BP
hemolysis occurs at 42 degrees calcium which releases potassium
Power - ANSWER: the appropriate intervention is to remove venous line from air
detector clamp before starting hand crank
Arterial Pressure High alarm causes - ANSWER: separation of tubing
Venous pressure high alarm causes - ANSWER: kink in tubing
infiltration
clotting in the venous drip chamber
What is important when monitoring weight and BP for acute patients? - ANSWER:
keep patients wet to avoid hypotensive episodes
What do you need to consider in regards to acute patents vascular access? -
ANSWER: Usually have a CVC
- follow policy and procedure to prevent infections
Why is it important to know what caused your patient's CKD? - ANSWER: to inquire
about possible problems during data collection and assessments
Kt/V: What is K? - ANSWER: clearance of urea
What treatment factors decrease K? - ANSWER: not waiting 3-5 minutes after giving
heparin with treatment initiation to prevent clotting
What factors influence V (volume)? - ANSWER: sex, age, weight, height,
amputations
Needle gauge and suggested BFR - ANSWER: 17: 200-250
16: 250-350
15: 350-450
14: >450
What do you do if a patient wants to get off early? - ANSWER: educate and
document, still draw lab on habitual patients, MUST NOTIFY NURSE
Lab draw mistakes that would falsely increase Kt/V - ANSWER: not waiting the full
15 seconds to draw the BUN
What is the role of the PCT prior to treatment initiation? - ANSWER: DATA
COLLECTION
Squeezing the BP cuff can damage the machine: T/F - ANSWER: True
4 reasons we document in the medical record - ANSWER: 1. proof that care was
rendered
2. provides data continuity and planning of patient care
3. permanent legal record
4. communication tool
Pre-treatment patient data collection/assessment - ANSWER: Data collection:
before initiation
Assessment: 30 minutes into treatment
, Post treatment data collection/assessments - ANSWER: after treatment
-NOT DURING RINSEBACK
What are possible consequences of poor or incomplete documentation - ANSWER:
attack on your care
What are the six items included in charting administered medications? - ANSWER:
REASON FOR ADMINISTERING
What are the 5 W's to be used when completing an AOR - ANSWER: who should
report an AOR
what type of incident
when should it be reported
where should they be reported
why
What are the four consequences of sodium loading during dialysis? - ANSWER:
Thirsty
Increase Fluid Intake
Increased intradialytic weight gain
Increased ultrafiltration rate
What is the purpose of UF profiling? - ANSWER: fit to the patient to prevent
crashing and allow for vascular refill
Why do we measure the pH in the dialysate - ANSWER: to verify acid-base balance
is within an acceptable range
Conductivity and pH alarm causes - ANSWER: no concentrate
improper bicarb
calcium or magnesium precipitate
line of filter occlusion from debris
improper calibration
Temperature alarm causes - ANSWER: lower temperature, increases BP
hemolysis occurs at 42 degrees calcium which releases potassium
Power - ANSWER: the appropriate intervention is to remove venous line from air
detector clamp before starting hand crank
Arterial Pressure High alarm causes - ANSWER: separation of tubing
Venous pressure high alarm causes - ANSWER: kink in tubing
infiltration
clotting in the venous drip chamber
