Davita PCT Final Exam
How are incorrect chlorine safety checks addressed by state? - ANS - immediate
jeopardy
How can you tell if a sink is for handwashing? - ANS - it's labeled clean
How do you know when to stop using the topical anesthetic spray? - ANS - the skin is
numbed when blanching occurs
How do you spin lab draws? - ANS - by loading them into a centrifuge balanced with
tubes of the same kind, size and fill level
How is DQI success achieved? - ANS - managing individual patients first
knowing each persons role
using CQI to identify trends and improve
How is patient target weight determined? - ANS - by the physician based on pt
tolerance, signs of fluid overload, and changes in fluid status
How long do you wait after administering the heparin loading dose before initiating
treatment? - ANS - 3-5 minutes
How long is needed for access sites to heal on a fistula? - ANS - 14 days, that's why
we use the rope ladder method
How often is the psychosocial assessment done? - ANS - initially and annually
How to prevent pseudo/aneurysms? - ANS - site rotation, clotting technique
If a patient has swelling in their ankles what should the nurse or PCT (in a state where
they are allowed to assess pre-treatment) do? - ANS - note presence of edema in
snappy
If the doctor orders a BFR of 300 for a 2 month old fistula which gauge should you use?
- ANS - 16 gauge
, Is it necessary to flip arterial needles? - ANS - no, they have a back eye
Is there an order for the stages of grief? - ANS - no, and some people may get stuck
The manual conductivity must match the Fresenius dialysis machine displayed
conductivity within... - ANS - +/- 0.4 mS
What are consequences of removing too much fluid during treatment? - ANS - can
cause hypovolemia and increase mortality
What are possible consequences of poor documentation? - ANS - you can be left
open to attack on your care
What are some interventions for chest pain? - ANS - decrease BFR to 150 mL/min,
decrease or turn off the UFR, administer oxygen
What are symptoms of disinfectant infusion? - ANS - pain at the venous needle,
respiratory distress, tingling around the lips
What are the consequences of hypotension? - ANS - poor perfusion and higher
mortality rates
What are the consequences of sodium loading? - ANS - increased thirst, large fluid
gains, post dialysis hypertension and headache
What are the endocrine functions of the kidney? - ANS - secrete renin, erythropoietin
and calcitriol
What are the four indicators of optimal nutrition status? - ANS - albumin greater than 4
g/dL
stable target weight
adequate fat stores
appropriate appetite and intake
What are the kidneys excretory functions? - ANS - normalize electrolytes
What are the risks of performing activities your way? - ANS - at risk for civil liability
What are the symptoms of CKD-MBD? - ANS - bone disease, soft tissue calcification
How are incorrect chlorine safety checks addressed by state? - ANS - immediate
jeopardy
How can you tell if a sink is for handwashing? - ANS - it's labeled clean
How do you know when to stop using the topical anesthetic spray? - ANS - the skin is
numbed when blanching occurs
How do you spin lab draws? - ANS - by loading them into a centrifuge balanced with
tubes of the same kind, size and fill level
How is DQI success achieved? - ANS - managing individual patients first
knowing each persons role
using CQI to identify trends and improve
How is patient target weight determined? - ANS - by the physician based on pt
tolerance, signs of fluid overload, and changes in fluid status
How long do you wait after administering the heparin loading dose before initiating
treatment? - ANS - 3-5 minutes
How long is needed for access sites to heal on a fistula? - ANS - 14 days, that's why
we use the rope ladder method
How often is the psychosocial assessment done? - ANS - initially and annually
How to prevent pseudo/aneurysms? - ANS - site rotation, clotting technique
If a patient has swelling in their ankles what should the nurse or PCT (in a state where
they are allowed to assess pre-treatment) do? - ANS - note presence of edema in
snappy
If the doctor orders a BFR of 300 for a 2 month old fistula which gauge should you use?
- ANS - 16 gauge
, Is it necessary to flip arterial needles? - ANS - no, they have a back eye
Is there an order for the stages of grief? - ANS - no, and some people may get stuck
The manual conductivity must match the Fresenius dialysis machine displayed
conductivity within... - ANS - +/- 0.4 mS
What are consequences of removing too much fluid during treatment? - ANS - can
cause hypovolemia and increase mortality
What are possible consequences of poor documentation? - ANS - you can be left
open to attack on your care
What are some interventions for chest pain? - ANS - decrease BFR to 150 mL/min,
decrease or turn off the UFR, administer oxygen
What are symptoms of disinfectant infusion? - ANS - pain at the venous needle,
respiratory distress, tingling around the lips
What are the consequences of hypotension? - ANS - poor perfusion and higher
mortality rates
What are the consequences of sodium loading? - ANS - increased thirst, large fluid
gains, post dialysis hypertension and headache
What are the endocrine functions of the kidney? - ANS - secrete renin, erythropoietin
and calcitriol
What are the four indicators of optimal nutrition status? - ANS - albumin greater than 4
g/dL
stable target weight
adequate fat stores
appropriate appetite and intake
What are the kidneys excretory functions? - ANS - normalize electrolytes
What are the risks of performing activities your way? - ANS - at risk for civil liability
What are the symptoms of CKD-MBD? - ANS - bone disease, soft tissue calcification
