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DAVITA FINAL EXAM RE VIEW-
MODULE 3 QUESTIONS W ITH
100% CORRECT ANSWER S
Question : What are the 3 meds PCTs can administer per
DaVita P&P?
CORRECT ANSWER : Saline, Heparin, Lidocaine
Question : What are the 6 items included in documenting
administered medications
CORRECT ANSWER : Time and date, route of
administration, reason for giving, medication dosage, reason for administering, patient response
Question : At what time are medications containing a
preservative discarded?
CORRECT ANSWER : 28 days (except when the
manufacturer specifies differently such as Epogen MDV at 21 days)
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Question : What size needle with the appropriate sized
syringe should be used when drawing up heparin?
CORRECT ANSWER : 21g x 1 inch
Question : How long do we wait after administering the
heparin loading dose prior to treatment initiation?
CORRECT ANSWER : 3-5 minutes
Question : What is the time frame during which single use
medications should be prepared and administered?
CORRECT ANSWER : 4 hours (unless your state
specifies another time limit)
Question : How do you verify your needle is not in the
access when administering Lidocaine?
CORRECT ANSWER : Aspiration (pull back) of syringe
plunger
Question : How do you administer Topical Anesthetic
Spray?
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CORRECT ANSWER : Wash arm, clean site per P&P,
Spray for 4-10 seconds from a distance of 3-7 inches, don't frost the skin-numbing effect occurs with blanching
Question : Why would the nephrologist order a formulary
exception of Citrasate or CitraPure dialysate concentrate?
CORRECT ANSWER : To use as part anticoagulation
therapy during the dialysis treatment when heparin is contraindicated.
Question : Rearding multi-dose medication vials: CORRECT ANSWER : -Labeling & Expiration: Must be labeled with the initials of the person opening the vial and the date it was opened (must be discarded withing 28 days except when the manufacturer specifies differently such
as Epogen at 21 days)-Needle/syringe/vial: The vial may
be entered more than once but requires a new sterile needle and syringe to puncture each medication vial to avoid pooling of medication from different vials.
Question : Regarding single-dose medication vials:
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CORRECT ANSWER : -Must be used for only one
patient.-Each vial should only be entered once and then discarded.-The same syringe may be used to enter up to two single use vials of the same medication and concentration to constitute the prescribed patient dose
Question : What does TRAMP stand for? (NOTE there is
often a 6th one-documentation) CORRECT ANSWER : T: Time R: Route A: Amount M: Medication P: Patient
Question : What are the two reasons for water treatment?
CORRECT ANSWER : Prevent equipment damage
Patient safety
Question : Aluminum in water used for dialysis causes
CORRECT ANSWER : Anemia, done disease, nausea,
vomiting