Davita pct final exam 2023/2024
Questions & Answers
Water and dialysate cultures are drawn every month in the dialysis unit to monitor -
ANSWERSbacteria and endotoxins
what problems will cause a more positive (less negative) pre-pump arterial pressure. -
ANSWERSblockage of arterial blood flow from the vascular access.
what is the most likely reason for a blood leak detector alarm during recirculation -
ANSWERS-air bubbles in the dialysate, dirty sensor
-check dialysate connections, bleach machine
what is an appropriate interventions with an air/foam detector alarm? - ANSWERSlook
at circuit for blood in the system. DO NOT return blood with air in the system.
what will cause a more negative pre-pump arterial pressure? - ANSWERSKinking of the
arterial blood line between the vascular access and arterial monitor
if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will -
ANSWERSdecrease
what could be the reasons for a conductivity alarm on the dialysis machine -
ANSWERSwhen the dialysate is mixed incorrectly or there is no water acid or bicarb.
the person responsible for implementation, adherence, and training of the facility
specific emergency management plan (EMP) and applicable policy and procedures is -
ANSWERSFa or designee
Teammates MUST be able to readily identify patients who may require additional
assistance in the event of an emergency evacuation. This will include patients who need
help with or are unable to - ANSWERSboth b and c
what is an important action prior to returning a patients blood using the hand crank in
the event of a power failure ? - ANSWERSremove the venous line for the line clamp
Per physician order and based on individual patient needs, Chronic Kidney Disease
Mineral and Bone Disorder (MBD) is treated with - ANSWERSphosphate binders, Vit D
(Hectorol), and Cinacalcet
Poor wound healing is directly related to - ANSWERSlow protein intake
, Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed.
When is the best time to take them ? - ANSWERSwith meal
The definition of Health Literacy is - ANSWERSability to obtain, read, understand, and
use healthcare information in order to make appropriate health decisions and follow
instructions for treatment
If you notice that a patient's caretaker is struggling to meet the demands of the patients
treatment regime you should - ANSWERScontact social worker
The Psychosocial Assessment completed by the social worker - ANSWERSan
evaluation of a person's mental health, social status, and functional capacity within the
communityCompeted initially and annually
The Clinical Pyramid includes : - ANSWERS• The Fundamentals: Immunizations, Iron,
Dialysis Access, Calcium, Phosphorus, Hb, Kt/V, Target Weight, Access,PTH, etc.•
Complex Programs: Fluid Management, Infection Management, Diabetes Management,
Med Management, CVCManagement, Palliative / EOL Care, Infection Surveillance,
Transition of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of
Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient Experience of
Care• What Matters Most • Our patient's health-related Quality of Life
DaVita Quality Index (DQI) success is achieved - ANSWERSencourage continuous
improvement across aboard range of disease management processes (all of the
above )
What can be the most likely result if the surveyor sees a patient with a covered vascular
access - ANSWERSimmediate jeopardy
A surveyor asks you a question. Which of the following statements would be a good
answer ? - ANSWERSI do not know the answer but I will find out.
Intra-renal causes of AKI - ANSWERSIschemic ATN, Sepsis, SIRS, Septic Shock,
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open
Heart Surgery
Knowing what caused your patients kidney failure - ANSWERScan cause complications
to treatment
A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the
patients target weight, why is being "wet" better that being too dry? - ANSWERS
The excretory function of the kidneys include - ANSWERSremove access water, urea,
and metabolic wastes from the blood.
