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Davita PCT Final Exam Module 1 Questions And Answers
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Ultrafiltration - correct answer ✅when fluid is pushed through a semipermeable membrane convection - correct answer ✅solutes pulled across a membrane by water movement diffusion - correct answer ✅movement of dissolved particles from the side with the higher concentration to the side with the lower concentration osmosis - correct answer ✅water movement across a membrane to equalize solute concentration kidney excretory functions - correct answer ✅normalize electrolytes, remove waste, provide fluid and acid base balance
How do we replace normal excretory kidney functions? - correct answer ✅dialyzer removes waste, machine removes fluid, acid and bicarb normalize electrolytes, dialyzer reduces metabolic acidosis function of acid concentrate - correct answer ✅provides concentration gradient for diffusion and normalizes electrolytes function of bicarb in dialysate solution - correct answer ✅buffer the acid function of bicarb in patients blood - correct answer ✅normalizes body pH hyperkalemia (too much K) - correct answer ✅weakness, bradycardia, cardiac arrest (>6.5) hypokalemia (too little K) - correct answer ✅cardiac arrhythmias (<3.5)
why is it important to know what caused you patients CKD? - correct answer ✅to know what possible issues may come up during treatment signs and symptoms of fluid imbalance - correct answer ✅hypertension, edema, shortness of breath dry, itchy skin - correct answer ✅use hyper-fatted soaps and lotions peripheral neuropathy - correct answer ✅(nerve pain in extremities) advise patient not to walk barefoot, monitor motor function GI problems - correct answer ✅inform rn and physician of any problems psychological problems - correct answer ✅contact social worker
consequence of prolonged fluid overload and hypertension - correct answer ✅Left ventricular hypertrophy what is pericarditis and treatment - correct answer ✅inflammation of the pericardial sac. decrease or stop heparin, more frequent dialysis what is a common cause of hypertension in dialysis patients - correct answer ✅fluid overload left ventricular hypertrophy leads to - correct answer ✅Ischemic heart disease, arrhythmia, myocardial infarction, and sudden death dialysis patients and anemia - correct answer ✅lifespan of RBCs are 60 days instead of 120. due to lack of EPO, etc. what are four key elements contributing to CKD-MBD - correct answer ✅abnormalities with levels of calcium, phosphorus, PTH, vitamin D
AKI weight and bp - correct answer ✅keep extra fluid on patient, don't let get too dry. so when kidneys do begin functioning again they have something to filter on their own AKI patients are at an increased risk for which complications? - correct answer ✅hypovolemia and hypotension OSHA vs CMS - correct answer ✅OSHA: concerned for employees CMS: concerned with patients v-tags - correct answer ✅state specific regulations to be met within a condition providing guidance for each regulation acceptable hand hygiene technique when dealing with C-diff - correct answer ✅handwashing w soap and water. can't just do hand sanitizer
most common infection in hemodialysis patients - correct answer ✅vascular access infections What is "strikethrough" of an external pressure transducer and why is it of concern? - correct answer ✅It is when fluid could have entered the machine and contaminated the internal pressure transducer protector which provides a reservoir for microorganisms sharps container removal - correct answer ✅when 3/4 full HBsAG - correct answer ✅hepatitis B surface antigen HBsAb - correct answer ✅Hepatitis B surface antibody HBcAb - correct answer ✅Hepatitis B core antibody
conductivity range - correct answer ✅within 0.4 of eachother safe dialysate pH range - correct answer ✅6.9 and 7. Following recirculation, how long can a dialyzer and blood lines be set up? - correct answer ✅2 hours, due to the potential for bacterial growth