DaVita - PCT Study Guide Exam

DaVita - PCT Study Guide Exam Questions and Answers (Solved Papers) Chlorine/Chloramine testing: - Correct Answers ✅When: R/O runs 15 mins before patient shift every 4 hours

Where: After Primary carbon tank sample port

Acceptable result: Less than or equal to 0.1 mg/L

Action if results are too high post primary tank: Repeat the

test Define the term AKI - Correct Answers ✅- Term incorporates a wide spectrum of kidney issues

• Includes acute kidney failure as well as less catastrophic

kidney function changes

• May dialyze in an out-patient facility until kidney function

recovers Give examples of pre-renal causes of AKI - Correct Answers ✅- Obstruction

• Volume Depletion
• Impaired Cardiac Function

Give examples of intra-renal causes of AKI - Correct Answers ✅- Ischemic ATN

• Sepsis

- SIRS

• Septic Shock
• Anaphylaxis Drugs 1 / 4

DaVita - PCT Study Guide Exam Questions and Answers (Solved Papers)

• Goodpasture Syndrome
• Acute Glomerulonephritis
• Trauma
• Open Heart Surgery

Give examples of post-renal causes of AKI - Correct Answers ✅- Obstruction

• Oliguric
• Bladder Rupture
• Pregnancy

How do you help in restoring kidney function? - Correct Answers ✅Find the cause of the AKI How do you protect kidneys from further injury? - Correct Answers ✅Avoid substances to the kidney which may be toxic (radiographic contrast, amphotericin B, low dose aspirin,

NSAIDS)

What is important when monitoring weight and BP? - Correct Answers ✅Keep a little extra fluid on them so it is available to the kidneys when they start filtering/ultrafiltrating on their own 2 / 4

DaVita - PCT Study Guide Exam Questions and Answers (Solved Papers) AKI patients are at increased risk for which complications? - Correct Answers ✅- Hypovolemia

• Hypotension

What do you need to consider in regards to their (AKI patients') vascular access? - Correct Answers ✅Patients will typically have a dialysis catheter, so be careful to avoid catheter related infections Explain the difference between AKI and CKD - Correct Answers ✅Eliminating the cause of the AKI can often lead to the return of kidney function. You cannot eliminate the cause of CKD which is HTN, Diabetes, and genetic disorders (PKD) Outline the treatment goals for a patient with CKD - Correct Answers ✅- Slowing the progression of CKD

• Managing comorbidities and complications
• Controlling symptoms
• Minimizing the effects of CKD on patients' lifestyles
• Kidney replacement therapy modality education
• Encouraging patients to actively participate in their

healthcare What are the most common causes for CKD in the USA? - Correct Answers ✅- DM 3 / 4

DaVita - PCT Study Guide Exam Questions and Answers (Solved Papers)

• HTN
• PKD

Why it is important to know what caused your patient's CKD?

• Correct Answers ✅So the nurse and PCT can inquire

about possible problems during data collection and assessment In Kt/V, what is 'K'? - Correct Answers ✅Clearance of urea What treatment factors decrease 'K'? - Correct Answers ✅- Inadequate coagulation

• Decreased BFR
• Poor priming
• Not following eP&P
• Patient not staying on TX as prescribed

What treatment factors increase 'K'? - Correct Answers ✅- Increased BFR

• Correct DFR
• Correct dialyzer
• Correct target weight-amputation factor
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