Download DaVita PCT CCHT Exam Questions And Answers and more Exams Nursing in PDF only on Docsity!
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What is the acronym for the five rights of medication administration - correct answer ✅T.R.A.M.P. Time, Routine, Amount, Medication, Patient What is DaVita policy that allows dialysis technicians to administer these three medications - correct answer ✅Saline (0.9% Sodium Chloride), Heparin, and Lidocaine What is aseptic technique? - correct answer ✅The method to protect against infection by pathogenic microorganisms when preparing and administering medications Medications containing a preservative must be discarded at what time after opening? - correct answer ✅28 days What's the time frame during which single dose medications should be prepared and administered per DaVita P&P? - correct answer ✅4 hours
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The most common method used to prevent clotting while the blood is in the extracorporeal circuit - correct answer ✅Anticoagulation with heparin 1000u/mL What are Anticoagulation/Anticoagulants - correct answer ✅Medicines that help prevent blood clots, reduce chances of heart attacks and strokes What are preservatives? - correct answer ✅Sodium benzoate, EDTA, sorbic acid, and parabens. What is the waiting time after the administration of initial heparin loading dose prior to initiation of hemodialysis - correct answer ✅3 to 5 minutes Clotting in the the dialyzer causes what change in venous pressure?
correct answer ✅Venous pressure to decrease
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What is prior to applying the Spray? - correct answer ✅The appropriate time to clean the VA cannulation sites when patients requests use of Topical Anesthetic Spray. What is when there is blanching of the skin? - correct answer ✅The sign that numbing has taken effect and it is time to stop spraying Topical Anesthetic onto VA cannulation sites. What is Epogen (Epoetin Alpha)? - correct answer ✅Stimulates bone marrow to produce red blood cells. What is IV Iron (Venofer)? - correct answer ✅Supports formation of red blood cells What is Vitamin D analog (Hectorol, Zemplar, Calcitrol)? - correct answer ✅Medication indicated for the prevention of excessive parathyroid hormone production in dialysis patients
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What is Cathflo Activase (Alteplase)? - correct answer ✅Medication used to treat thrombosis-related central venous catheter occlusion. What is vancomycin? - correct answer ✅Antibiotic that should be administered over a period of at least 60 minutes What are vitamins (Nephrocaps)? - correct answer ✅Patients should take them after dialysis to prevent those that are water soluble from being dialyzed out What are phosphorus binders? - correct answer ✅Calcium containing tums, PhosLo. Non-Calcium containing: Renagel, Renvela, Fosrenol What is Coumadin (warfarin)? - correct answer ✅Is used to increase the clotting time in patients with arrhythmias, prosthetic valves or clotting disorders
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What is a booster dose? - correct answer ✅Required for patients whose Hepatitis B Surface Antibodies fall below the level sufficient to be immune. Lavender tubes must be? - correct answer ✅inverted a minimum of 8 to 10 times to properly mix and avoid clotting Adequate dialysis replaces? - correct answer ✅Less than 15% of normal kidney function Preventing hypotensive episodes during the dialysis treatment is important because they're associated with? - correct answer ✅A higher mortality rate What will cause an increase in the patient's venous pressure? - correct answer ✅A clot in the drip chamber. "Wet crash" means? - correct answer ✅Fluid overload over stretches the heart muscle tissue resulting in decreased cardiac output and low BP
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Define the term AKI - correct answer ✅Used to be called acute renal failure. Incorporates a wide spectrum of kidney issues, includes acute renal failure as well as less catastrophic renal function changes, may dialyze in outpatient facility until kidney function recovers AAMI (Association for the Advancement of Medical Instrumentation) Chemical Analysis of water used for hemodialysis is tested - correct answer ✅Monthly A 58-year-old patient who is blind comes to treatment accompanied by his wife. Which of these approaches should the dialysis technician use when interacting with the patient? - correct answer ✅Describe the activities in the immediate environment A dialysis technician observed a drop of blood on the surface of the patient's hemodialysis machine. Which of these actions should the dialysis technician take? - correct answer ✅Clean the machine surface immediately
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A mixed bed DI tank contains what? - correct answer ✅cations and anions A nephron is made up of what? - correct answer ✅A glomerulus and a tubule system A patient complains of pain at the venous needle site. The dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. The dialysis technician should suspect? - correct answer ✅An infiltration A patient who is to receive their first dialysis treatment is prone to?
correct answer ✅Dialysis disequilibrium syndrome A patient tells the technician that the dietitian reviewed high potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium? - correct answer ✅bananas
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A slow pulse of 54 bpm would indicate the patient has what? - correct answer ✅Bradycardia A reason why a dialysis technician is to be certified is: - correct answer ✅It is a CMS requirement A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is a indication of what? - correct answer ✅Clotting of the extracorporeal circuit A true aneurysm can be dangerous because it: - correct answer ✅May rupture and cause the patient to bleed profusely A patient's laboratory results indicate the pre-dialysis BUN level was lower than the post dialysis BUN level. When interpreting these findings, the technician should seek the answer to which of these questions? - correct answer ✅Was the post dialysis sample drawn correctly?
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correct answer ✅Stop the blood pump, stop treatment, and do not return blood back Removing too much fluid during tax can cause what? - correct answer ✅Hypovolemia Symptoms of hypovolemia are what? - correct answer ✅Weakness? Fatigue, dizziness, vomiting, thirst, cold clammy skin, rapid HR, confusion, rapid shallow breathing, blue lips/fingernails "Sodium Loading" leads to interdialytic thirst which leads to the patient - correct answer ✅
