DAVITA PCT CCHT EXAM 2021

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DAVITA PCT CCHT EXAM 2021

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -62 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A patient complains of pain at the venous needle site. The dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. The dialysis technician should suspect?

Answer:

An infiltration

Question 2: What is prior to applying the Spray?

Answer:

The appropriate time to clean the VA cannulation sites when patients requests use of Topical Anesthetic Spray.

Question 3: A slow pulse of 54 bpm would indicate the patient has what?

Answer:

Bradycardia Question 4: Preventing hypotensive episodes during the dialysis treatment is important because they're associated with?

Answer:

A higher mortality rate

Question 5: What are preservatives?

Answer:

Sodium benzoate, EDTA, sorbic acid, and parabens.

Question 6: What is Coumadin (warfarin)?

Answer:

Is used to increase the clotting time in patients with arrhythmias, prosthetic valves or clotting disorders Question 7: A true aneurysm can be dangerous because it:

Answer:

May rupture and cause the patient to bleed profusely

Question 8: Best way to prevent all kinds of infections?

Answer:

Hand washing

Question 9: Symptoms of hypovolemia are what?

Answer:

Weakness? Fatigue, dizziness, vomiting, thirst, cold clammy skin, rapid HR, confusion, rapid shallow breathing, blue lips/fingernails Question 10: Patients target weight is 154 lbs (70kg) in the patient's pre-treatment weight is 158.4 lbs (72kg). For a four hour treatment, how many mL/hour must the patient lose to reach dry weight?

Answer:

500

Question 11: What is aseptic technique?

Answer:

The method to protect against infection by pathogenic microorganisms when preparing and administering medications

Question 12: What is pulling back on the plunger?

Answer:

Method to ascertain needle is not in blood vessel when administering intradermal lidocaine

Question 13: What is wiping off EMLA cream completely?

Answer:

Method prior to cannulation to prevent access infections when a patient has applied topical EMLA cream at home Question 14: A 58-year-old patient who is blind comes to treatment accompanied by his wife.Which of these approaches should the dialysis technician use when interacting with the patient?

Answer:

Describe the activities in the immediate environment Question 15: The most common method used to prevent clotting while the blood is in the extracorporeal circuit

Answer:

Anticoagulation with heparin 1000u/mL Question 16: A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is a indication of what?

Answer:

Clotting of the extracorporeal circuit

Question 17: What is "Engerix-B"?

Answer:

Vaccination series consists of four 40mcg doses at 0,1,2, and 6 months Question 18: What's the time frame during which single dose medications should be prepared and administered per DaVita P&P?

Answer:

• hours

Question 19: What is Epogen (Epoetin Alpha)?

Answer:

Stimulates bone marrow to produce red blood cells.

Question 20: What is Cathflo Activase (Alteplase)?

Answer:

Medication used to treat thrombosis-related central venous catheter occlusion.

Question 21: What will cause an increase in the patient's venous pressure?

Answer:

A clot in the drip chamber.Question 22: What is the waiting time after the administration of initial heparin loading dose prior to initiation of hemodialysis

Answer:

• to 5 minutes

Question 23: What is Milk of Magnesia?

Answer:

Over-the-counter laxative can cause severe toxicity in dialysis patients.Question 24: A patient tells the technician that the dietitian reviewed high potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium?

Answer:

bananas

Question 25: What are Cinacalcet (oral) and Parsabiv (IV)?

Answer:

Two medications that Treat secondary hyper parathyroid is by increasing the sensitivity of calcium sensing receptors Question 26: AAMI standard for conventional dialysate requires the total microbial count to be less than what?

Answer:

100 CFU/mL