PCT davita final exam questions with reasonable answers 2024 updated., Exams of Nursing

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PCT davita final exam questions with reasonable answers 2024 updated. 1) Which of the following statements is not an underlying assumption of self management - answers>People with complex chronic kidney conditions such ass ESRD have more difficulties with successful self management 2) Which of the following is a basic principle of self management - answers>Dealing with the consequences of the illness rather than just the physical disease its self 3) Andragogy takes into account - answers>That adults desire to take responsibility for what they learn 4) In order to detect problems as early as possible a thorough evaluation of a new fistula four to six weeks after creation should be considered mandatory - answers>true 5) Vessel mapping should be performed on all new patients when possible - answers>true 6) The goal of vascular mapping is to assure that every new patient receives a fistula if possible - answers>true 7) A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of the access vessel). - answers>inflow 8) The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%. - answers>false 84-98% 9) Venous stenosis is the most common cause of late fistula loss. - answers>true 10)Persistent swelling of the access arm and prolonged bleeding after needle withdrawal are signs of an inflow stenosis (inability for blood to enter the access) - answers>true 11)A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula. - answers>true 12)A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction. - answers>true 13)The most serious catheter related complication is infection - answers>true 14)3 processes that make up the water treatment system - answers>pre treatment, 15)water-purification, 16)distribution 17)3 roles of davitas pnp play - answers>a standard of care best demonstrated practice prima facieevidence 18)4 ways to prevent contributing to excess blood loss - answers>eveluate effectiveness of of heparin 19)rinse back blood till lines are pink 20)hold acess site forappropriate time 21)dont waste blood in redraws 22)acronym used when communicating - answers>SMART 23)simple 24)meaningful 25)actual 26)read 27)teach 28)adequacy of dialysis is represented by - answers>kt/v 29)antibiotic that should be administered over a period of at least 60 min - answers>vancomycin 30)what factors influence k - answers>bvp 31)what happens when arterial pressure becomes greater than -260 - answers>hemolysis 32)what happens if total Cl is collected before the minimum time the RO should be operating - answers>rsults could be falsely negative 33)what happens to the TMP if clotting occurs in the dialyzer - answers>it decrease 34)what happens when bleach an parecitc acid are mixed - answers>a toxic cl gas is produced 35)wjat is a good adequacy goal for 3 times per week HD - answers>KTV of atleast 1.2 36)URR of at least 65% 37)what is KDQOL 36 used - answers>to asses physical health, mental health effects in dialy living symptoms burden of kidney disease 75)during dialysis the movent of bicarb from the dialysate into the blood - answers>helps normalize ph 76)the kineys excretory function include - answers>nomalizing electrolytes 77)chlorine/chloramine testing can be found in - answers>the sample port from the primary carbon filter 78)hardness testing removes - answers>calcium and magnesium 79)excess calcium and magnesium in water used for dialysis - answers>muscle weakness 80)what removes chlorine and chloramines - answers>carbon tanks 81)arterial pressure more positive - answers>seperation of blood tubing from arterial access 82)venous pressure more positive - answers>clotting in drip chamber 83)venous pressure more negative - answers>severely clotted dialyzer 84)role davitas pnp play - answers>best demonstrated practice 85)standard of care 86)purpose of DQI - answers>encourage continuous improvement accross a broad range of disease management 87)consequences of fluid overload - answers>increased mortality 88)consequences of hypovolemia during treatment - answers>ischemia and damage to vital organs 89)KDQOL 36 - answers>identifies barriers 90)hyperkalemia - answers>muscle weakness abmormal HR 91)4 key elements affect CKD MBD - answers>soft tissue calcification 92)ultrafiltration - answers>fluid forced through semipermeable membrane 93)covection - answers>slolutes and solvent move 94)vtags - answers>state specific regulations to be met with a condition such as infection providing interpretive guidance for each regulation 95)when is the pretreatment assessment by the licensed nurse required - answers>when it is mandated by the state 96)when the pct performing a data collection notices abnormal findings 97)when the patient reports unusual symptoms to the nurse prior treatment initiation 98)when the nurse observes unusual behaviors in a patient entering the treatment floor 99)ALL OF THE ABOVE 100) data collection - answers>heart rate:72 101) fluid overload and hypertension lead to LVH this means - answers>hypotensive episodes are more likely to occur during treatment 102) your role in ckd-mbd management includes - answers>reminding the patient who is eating a snack during dialysis to take his phosphate binders 103) your role in anemia management - answers>rinsing back as much as other patients blood as you can at the termination of each treatment - answers>