Real PCT DAVITA final exam questions and answers (Verified Answers) 2023, Exams of Nursing

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(Verified Answers) 2023

Which of the following statements is not an underlying assumption of self- management - correct answer ✅People with complex chronic kidney conditions such as ESRD have more difficulties with successful self- management. Which of the following is a basic principle of self-management - correct answer ✅Dealing with the consequences of the illness rather than just the physical disease itself. Andragogy considers - correct answer ✅That adults desire to take responsibility for what they learn. 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

• correct answer ✅true Vessel mapping should be performed on all new patients when possible - correct answer ✅true.

(Verified Answers) 2023

The goal of vascular mapping is to assure that every new patient receives a fistula if possible - correct answer ✅true. A juxta-anastomotic stenosis is considered an "outflow" stenosis (inhibits the blood from flowing out of the access vessel). - correct answer ✅inflow The salvage (success) rates for endovascular therapy in early AV fistula failure cases are around 20%. - correct answer ✅false 84-98% Venous stenosis is the most common cause of late fistula loss. - correct answer ✅true 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) - correct answer ✅true. A secondary AV fistula is defined as a fistula that is created following the failure of a graft or fistula. - correct answer ✅true

(Verified Answers) 2023

A catheter that is not able to deliver at least 400 ml/minute should be evaluated for dysfunction. - correct answer ✅true The most serious catheter related complication is infection - correct answer ✅true. 3 processes that make up the water treatment system - correct answer ✅pretreatment, water-purification, distribution 3 roles of davit as PNP play - correct answer ✅a standard of care best demonstrated practice prima facie evidence. 4 ways to prevent contributing to excess blood loss - correct answer ✅evaluate effectiveness of heparin rinse back blood till lines are pink hold access site for appropriate time don’t waste blood in redraws acronym used when communicating - correct answer ✅SMART simple

(Verified Answers) 2023

meaningful actual read teach adequacy of dialysis is represented by - correct answer ✅kt/v antibiotic that should be administered over a period of at least 60 min - correct answer ✅vancomycin. what factors influence k - correct answer ✅BVP. what happens when arterial pressure becomes greater than -260 - correct answer ✅hemolysis. what happens if total Cl is collected before the minimum time the RO should be operating - correct answer ✅results could be falsely negative.

(Verified Answers) 2023

what happens to the TMP if clotting occurs in the dialyzer - correct answer ✅it decreases. what happens when bleach an predict acid are mixed - correct answer ✅a toxic cl gas is produced. wjat is a good adequacy goal for 3 times per week HD - correct answer ✅KTV of at least 1.2 URR of at least 65% what is KDQOL 36 used - correct answer ✅to assess physical health, mental health effects in daily living symptoms burden of kidney disease what not to include in AOR - correct answer ✅opinion speculation vendettas what should you do if pt needs a bathroom break - correct answer ✅return blood and recirculate machine.

(Verified Answers) 2023

when is a pyrogenic reaction most likely to occur - correct answer ✅during the first 45-75 mins. when is residual bleach testing done - correct answer ✅after bleach dis infection and prior to use. when to chart in medical record - correct answer ✅change in baseline assessment or pt condition procedure or treatment medication administration pt teaching care plan when to give hep b booster

• correct answer ✅when HBsAB drops 10 when to use directing communication - correct answer ✅when training pts when to use folowing communication - correct answer ✅when pt need time to process or digest something when to use guiding communication - correct answer ✅when creating an action plan

(Verified Answers) 2023

what bacteria requires hand washing instead of alcohol rub - correct answer ✅c diff which direction should arterial needle be placed - correct answer ✅anti or retro who cares which direction should the venous needle be placed - correct answer ✅antegrade with flow of blood who educate pt on treatment modality - correct answer ✅neph, SW and CN to evaluate if pt is stable before discharge - correct answer ✅nurse must complete post treatment assessment pre treatment required by nurse? - correct answer ✅if abnormal findings for AKI pt pretreatment always required if a pt with acute kidney injury dialyses in the out pt facility one task of the pt care TM is to monnitor blood pressure and weight closely why? - correct

(Verified Answers) 2023

answer ✅HYPOvolemia and HYPO tensives episode can cause RENAL ISCHEMIA and can further damage the kidneys CKD can have its origin pre renal, intra renal, or post renal. which of the following conditions is an intrs renal cause of CKD - correct answer ✅hypertension pt with cardiac disease are ten times more likely to experience intradailytic hypotension - correct answer ✅LVH offering a pt this is an example of sodium loading - correct answer ✅broth what is an intra cellular or intersistial symptom of fluid overload - correct answer ✅edema this electrolyte is often elevated in pts who experience severe itching - correct answer ✅phosphorus the kidneys help regulated BP with this - correct answer ✅renin

(Verified Answers) 2023

this hormone stimulates the bone marrow to make red blood cells - correct answer ✅erythopoieten this electrolyte aids in clotting, nerve impluse transmission, muscle contractions and bone formation - correct answer ✅calcium restless leg syndrome is a symptom of which complications in CRF - correct answer ✅peripheral neuropathy what is classified as a bone disease associated with renal failure - correct answer ✅CKD-MBD the kidneys convert Vitamin D into which hormone - correct answer ✅calcitrol these procedures can cause significant blood loss in our patients - correct answer ✅access

(Verified Answers) 2023

maintaining normal serum calcium levels is the primary function of this hormone - correct answer ✅PTH this disease is the leading cause of death in patients at all stages of CKD - correct answer ✅cardiovascular the transport mechanism when particles move from an area of higher solute concetration to an area of lower solute concentration is called - correct answer ✅diffusion during dialysis the movent of bicarb from the dialysate into the blood - correct answer ✅helps normalize ph the kineys excretory function include - correct answer ✅nomalizing electrolytes chlorine/chloramine testing can be found in - correct answer ✅the sample port from the primary carbon filter

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hardness testing removes - correct answer ✅calcium and magnesium excess calcium and magnesium in water used for dialysis - correct answer ✅muscle weakness what removes chlorine and chloramines - correct answer ✅carbon tanks arterial pressure more positive - correct answer ✅seperation of blood tubing from arterial access venous pressure more positive - correct answer ✅clotting in drip chamber venous pressure more negative - correct answer ✅severely clotted dialyzer role davitas pnp play - correct answer ✅best demonstrated practice standard of care purpose of DQI - correct answer ✅encourage continuous improvement accross a broad range of disease management

(Verified Answers) 2023

consequences of fluid overload - correct answer ✅increased mortality consequences of hypovolemia during treatment - correct answer ✅ischemia and damage to vital organs KDQOL 36 - correct answer ✅identifies barriers hyperkalemia - correct answer ✅muscle weakness abmormal HR 4 key elements affect CKD MBD - correct answer ✅soft tissue calcification ultrafiltration - correct answer ✅fluid forced through semipermeable membrane covection - correct answer ✅slolutes and solvent move vtags - correct answer ✅state specific regulations to be met with a condition such as infection providing interpretive guidance for each regulation

(Verified Answers) 2023

when is the pretreatment assessment by the licensed nurse required - correct answer ✅when it is mandated by the state when the pct performing a data collection notices abnormal findings when the patient reports unusual symptoms to the nurse prior treatment initiation when the nurse observes unusual behaviors in a patient entering the treatment floor ALL OF THE ABOVE data collection - correct answer ✅heart rate: fluid overload and hypertension lead to LVH this means - correct answer ✅hypotensive episodes are more likely to occur during treatment your role in ckd-mbd management includes - correct answer ✅reminding the patient who is eating a snack during dialysis to take his phosphate binders

(Verified Answers) 2023

your role in anemia management - correct answer ✅rinsing back as much as other patients blood as you can at the termination of each treatment

• correct answer ✅