Download Davita PCT Final Exam Questions And Answers 2025 and more Exams Nursing in PDF only on Docsity!
Answers 2025
Why are dialysis patients at increased risk for acquiring a HAI at the facility? - correct answer ✅they are immunosuppressed, it's 2nd most common cause of death, we have prolonged access to their blood What is the most common route for transmitting HAIs? - correct answer ✅contact What is the most important intervention against HAIs? - correct answer ✅hand hygiene What germ causes most infections in hemodialysis patients? - correct answer ✅MRSA, which can stay on surfaces for days, especially plastic and vinyl Why is it so important to wear gloves? - correct answer ✅reduces the risk of hand contamination What are V-tags? - correct answer ✅interpretive guidance for each state regulation
Answers 2025
What are three strategies to reduce infection of CVCs? - correct answer ✅facemasks, clean gloves, avoid touching exposed surfaces Who can use handwashing sinks? - correct answer ✅anyone as long as they remain solely for handwashing How can you tell if a sink is for handwashing? - correct answer ✅it's labeled clean What is important to know about Hep B patients? - correct answer ✅cannot care for hep B positive and susceptible patients at the same time What are the risks of performing activities your way? - correct answer ✅at risk for civil liability What is ultrafiltration? - correct answer ✅fluid pushed by pressure through a semipermeable membrane
Answers 2025
The manual conductivity must match the Fresenius dialysis machine displayed conductivity within... - correct answer ✅+/- 0.4 mS Why must we document in the medical record? - correct answer ✅it's a permanent legal record 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?
correct answer ✅note presence of edema in snappy When is a pre-treatment assessment by the RN always required? - correct answer ✅AKI patients require a pre-treament assessment everytime When are safety checks documented? - correct answer ✅prior to the start of treatment When is post treatment data collection completed? - correct answer ✅after treatment termination
Answers 2025
What are possible consequences of poor documentation? - correct answer ✅you can be left open to attack on your care What are three things not included in an REM? - correct answer ✅personal opinions, vendettas, speculation What can cause high arterial pressure alarms? - correct answer ✅kinking of the aterial blood tubing between access and monitor What can cause high venous pressure alarms? - correct answer ✅clotting in the drip chamber Why do we measure pH? - correct answer ✅to check the acid/base balance What can happen if dialysate temperature is too high? - correct answer ✅hemolysis if greater than 42 degrees celsius
Answers 2025
What is different about treatment of those with pericarditis? - correct answer ✅more frequent dialysis, less heparin use What does CKD-MBD lead to? - correct answer ✅abnormal calcium, phosphorus, parathyroid hormone (PTH), and calcitriol (vitamin D) levels What are the symptoms of CKD-MBD? - correct answer ✅bone disease, soft tissue calcification What does chlorine in dialysis water cause? - correct answer ✅hemolysis What is the immediate first response to a final water quality alarm going off? - correct answer ✅set machines in bypass mode What happens if chlorine testing is done before the RO has operated for at least 15 minutes? - correct answer ✅it can give a false negative
Answers 2025
When is hardness testing done? - correct answer ✅at the end of the day How is patient target weight determined? - correct answer ✅by the physician based on pt tolerance, signs of fluid overload, and changes in fluid status What are the consequences of sodium loading? - correct answer ✅increased thirst, large fluid gains, post dialysis hypertension and headache What are you supposed to do if the UF goal is too high? - correct answer ✅lower it until acceptable by the patient What are consequences of removing too much fluid during treatment? - correct answer ✅can cause hypovolemia and increase mortality Why is it important to follow lab draw order? - correct answer ✅additives in tubes will affect other tubes if drawn in the wrong order
Answers 2025
Is it necessary to flip arterial needles? - correct answer ✅no, they have a back eye What must be done if using hemostatic sponges? - correct answer ✅remove them prior to discharge How to prevent pseudo/aneurysms? - correct answer ✅site rotation, clotting technique Why do we put CVC patients in the supine position? - correct answer ✅raises central venous pressure which reduces the risk of an air embolism What are the consequences of hypotension? - correct answer ✅poor perfusion and higher mortality rates What is the primary intervention for muscle cramps? - correct answer ✅reduce or discontinue the UFR
Answers 2025
What do you do when a patient is having a seizure? - correct answer ✅if no response, discontinue dialysis What is the biggest cause of dialysis disequilibrium syndrome? - correct answer ✅missed treatments What is the definition of a fever? - correct answer ✅any temp over 100F or 2 degrees over their baseline What are symptoms of disinfectant infusion? - correct answer ✅pain at the venous needle, respiratory distress, tingling around the lips What are some interventions for chest pain? - correct answer ✅decrease BFR to 150 mL/min, decrease or turn off the UFR, administer oxygen What do you do when a patient goes into anaphylaxis? - correct answer ✅stop the blood pump discontinue treatment and don't return the blood
Answers 2025
Which complications are AKI patients at risk for? - correct answer ✅hypovolemia and hypotension When are medications containing a preservative discarded? - correct answer ✅28 days How long do you wait after administering the heparin loading dose before initiating treatment? - correct answer ✅3-5 minutes How do you know when to stop using the topical anesthetic spray?
correct answer ✅the skin is numbed when blanching occurs What are the four indicators of optimal nutrition status? - correct answer ✅albumin greater than 4 g/dL stable target weight adequate fat stores appropriate appetite and intake
Answers 2025
What do you tell your patient if they think it's ok to eat on the machine? - correct answer ✅the food they eat during treatment will not dialyze out When are phosphorus binders taken? - correct answer ✅with food and meals What should a social worker do as a counselor? - correct answer ✅be there for both the family and the patient Is there an order for the stages of grief? - correct answer ✅no, and some people may get stuck How often is the psychosocial assessment done? - correct answer ✅initially and annually What does darn stand for? - correct answer ✅desire ability reason
Answers 2025
What is a good tip for auditory learners? - correct answer ✅mnemonics/acronyms What is a good tip for kinesthetic learners? - correct answer ✅get up and walk around for breaks What does the clinical pyramid include? - correct answer ✅fundamentals complex programs quality of life How is DQI success achieved? - correct answer ✅managing individual patients first knowing each persons role using CQI to identify trends and improve How are incorrect chlorine safety checks addressed by state? - correct answer ✅immediate jeopardy
Answers 2025
What's ok to say if you're not sure about a question state asks you?
correct answer ✅I'm not sure but let's go find out
