Download DaVita PCT Training Exam Questions And Answers and more Exams Nursing in PDF only on Docsity!
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What is adequacy? - correct answer ✅-How well dialysis tx is working -measured by green post BUN lab
- Kt/V goal is 1.2 or 65% What affects Kt/V? - correct answer ✅- time of tx -frequency of tx -increasing BFR and DFR increase Kt/V Needle gauge sizes vs. BFR - correct answer ✅- 17g=200-
- 16g = 250-
- 15g = 350-
- 14g = 450 and ^ procedure for post BUN lab draw - correct answer ✅turn off UF DFR to 300 decrease BFR to 100 ml/pm
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WAIT 15 SEC.
draw from arterial line port What causes Kt/V to be falsely high? - correct answer ✅if you take it before waiting the full 15 secs what causes kt/v to be falsely low? - correct answer ✅if you wait longer than 15 sec to take it Consideration for pt with AKI - correct answer ✅don't want them too dry; better to leave them with a little extra fluid than to take too much off CKD vs AKI - correct answer ✅CKD = longstanding disease to the kidneys leading to renal failure AKI = abrupt decrease in renal function; kidney function can return but not at 100%...can also lead to CKD
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What do you do if a pt starts seizing? - correct answer ✅ why do we recirc machines? - correct answer ✅to get rid of any air in lines what do you do if a pt has an air embolism? - correct answer ✅left side trendelenburg position What can possibly happen if its a pts first time receiving dialysis tx?
correct answer ✅they can have an allergic rx to dialyzer; may go into anaphylaxis what do you do if a pt has angina during tx? - correct answer ✅call the nurse - they will give fluid, slow BFR, turn off UF what causes angina during dialysis? - correct answer ✅dehydration and electrolyte imbalance
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what is disinfectant infusion? + s/s - correct answer ✅when there is leftover disinfectant in the machine
- s/s is pain at venous needle site at beginning of tx When must RN pre-assessment be done? - correct answer ✅PRIOR to tx initiation (state of CA) when must RN post assessment be done? - correct answer ✅before the pt is aloud to leave Why is it important to document? - correct answer ✅- if you don't document it did not happen
- continuity of care When must machine safety checks be done and documented? - correct answer ✅before putting pt on the machine when can you start post tx vitals and assessment? - correct answer ✅AFTER tx is done and stopped; cannot start till tx is completely done
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what is clinical pyramid? - correct answer ✅fundamental complex programs and quality of life what is a pts target weight? - correct answer ✅their dry weight (when they have no excess fluid weight on them) what can happen if you pull too much fluid off? - correct answer ✅hypotension what should you do if a pt is still 1 kg one TW after tx? - correct answer ✅Notify nurse that they need to come in for an extra tx what is most common spread of infection in dialysis pts? - correct answer ✅contact transmission what is a V tag? - correct answer ✅state survey take; if your clinic has a condition
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what to consider when dealing with CVCs? - correct answer ✅keep as sterile or clean of field as possible as there is a high risk for infection why should you wash hands between every pt? - correct answer ✅prevent spread of HAIs from contact transmission where can you wash your hands? - correct answer ✅in sinks labeled "clean sink" (cannot wash hands in "dirty sink") how can we prevent spread of MRSA? - correct answer ✅WASH HANDS BETWEEN EVERY PT bleach surfaces what do you need to know for pts with pericarditis? - correct answer ✅NO heparin what are the most common s/s of HYPERkalemia? - correct answer ✅arrhythmias and muscle weakness
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what are the 3 communication skills? - correct answer ✅- asking
- listening
- informing what is reflective listening? - correct answer ✅ how does empathy help pts? - correct answer ✅it motivates them to make changes what are the stages of grief? - correct answer ✅1. Denial
- Anger
- Bargaining
- Depression
- Acceptance
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how often does a social worker do a social assessment? - correct answer ✅ Ultra filtration definition - correct answer ✅removes water from the blood by pushing it across the semipermeable membrane Convection definition - correct answer ✅aka solute drag is when solutes move with the water across the semipermeable membrane diffusion definition - correct answer ✅movement of molecules from high concentration to low concentration osmosis definition - correct answer ✅fluid moves from less to more concentrated side of membrane
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what can cause increase in venous pressure? - correct answer ✅clot or infiltration what can cause high arterial pressure? - correct answer ✅kinked line what are the reasonable and prudent standards of care? - correct answer ✅1. care which nurse would give under the same or similar circumstances
- actions a nurse would do, as well as actions the nurse would avoid doing
- nephrology nursing is keyed to this specialty & the skills & knowledge expected of a nephrology nurse
- following standard of care makes the care given defensible & avoids negligence
- when supervising non-licensed, assistive personnel, it is the responsibility of the licensed nurse to ensure these teammates also meet the standard of care what do you need to be able to use a hemostatic sponge (SureSeal)? - correct answer ✅a physicians order
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how long is ladder technique used for? - correct answer ✅14 days what must be done before chlorine check? - correct answer ✅RO must run for 10 min or reading could be falsely high what do you do if you have a final water quality alarm? - correct answer ✅STOP TX bypass machines what are the different types of PD? - correct answer ✅Continuous ambulatory peritoneal dialysis continuous cycler-asissted peritoneal dialysis what are some benefits of PD? - correct answer ✅more flexible schedule can be done in your own home while sleeping fewer diet restrictions
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anesthetic spray - correct answer ✅ensure skin is unbalanceable before cannulating when do you give heparin bolus? - correct answer ✅3-5 min before starting tx when should pts be taking their phosphate binders? - correct answer ✅with meals what needs to be done before using hand crank in power outage? - correct answer ✅take line out of air detector return blood slow why is risks of NOT following p&p? (doing it "your way") - correct answer ✅1. not within ordinary standard of care
- can lead to civil liability
- negligence what is reflective listening? -
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how does empathy help pts? - correct answer ✅it motivates them to make changes what are the stages of grief? - data collection vs assessment - correct answer ✅data collection: quantitative (ex: counting HR) assessment: qualitative (ex: qualifying or evaluating HR) what does NFACT stand for? - correct answer ✅new fistula assessment and cannulation team
