Davita PCT Exam Latest Update 100 Questions and 100% Verified Correct Answers Score A+ At First Attempt
- reasons we document in the medical record - Correct Answer 1. proof that care was
- provides data continuity and planning of patient care
- permanent legal record
- communication tool
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Air embolism intervention - Correct Answer STOP PUMP lay patient on left side trendelenburg
Arterial Pressure High alarm causes - Correct Answer separation of tubing
at what time are medications containing a preservative discarded? - Correct Answer 28 days
BESTIPS Complications and Prevention: Thrombosis - Correct Answer if using
hemostatic sponges, we must remove before sending patient home and cover with sterile gauze
Cannulation site prep - Correct Answer use a tourniquet during cannulation on ALL AV fistula unless documentation for otherwise
chlorine in water used for hemodialysis causes - Correct Answer hemolysis which releases potassium
Chlorine/chloramine testing - Correct Answer can't be more than 4 hours apart
Conductivity and pH alarm causes - Correct Answer no concentrate improper bicarb calcium or magnesium precipitate line of filter occlusion from debris improper calibration
Consequences of organ stunning - Correct Answer hypotension can have many adverse affects including impaired tissue profusion of vital orgCorrect Answer and organ injury
Convection - Correct Answer (solutes and fluid) solutes are dragged across the semipermeable membrane along with fluid
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Davita Quality Index - Correct Answer the purpose of selecting the component measure for DQI is to encourage continuous improvement across a broad range of disease management processes
Dialysis disequilibrium syndrome prevention - Correct Answer don't skip treatments -have to go to hospital to get dialyzed if missed more than two treatments in a row
Diffusion - Correct Answer (solutes) particles move from an area of high concentration to an area of low concentration
DQI success is achieved by - Correct Answer -managing individual patients first and allowing scores to follow -knowing each team members role and improving DQI scores -using the CQI (continuous quality improvement) process to help identify trends and make improvements (answer all of the above)
Examples of what not to say to a surveyor - Correct Answer I was never told that nobody ever told me
Explain a reason for Immediate jeopardy (IJ) - Correct Answer insufficient or inaccurate chlorine checks
explain the four AVF evaluations for maturation based on the KDOQI rule of 6's - Correct Answer rules of 6's proved guidelines for a FISTULA
- 6-8 weeks post op
-blood flow of 600 -diameter of 0.6 cm -can't be deeper than 0.6 cm below the skin
Fever and chills - Correct Answer any temp greater than 100 degrees or over 2 degrees of baseline WITH symptoms
How can you print contributing to blood loss? - Correct Answer adequate heparinization
How do you know numbing has taken effect? - Correct Answer blanching of skin
how long do we wait after administering the heparin bolus prior to treatment initiation? - Correct Answer 3-5 minutes
how to talk to a surveyor or what to do when a surveyor observes you or asks questions - Correct Answer I don't know the answer, but I will find out
hyperkalemia - Correct Answer potassium above 6.5 extreme muscle weakness cardiac arrest
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