Fresenius Nurse Final Exam Part 1 With 100% Correct Answers 2023

The 3 reasons that dialysis is a high risk area: - Correct Answer-1. There is frequent exposure to blood 2. Patients & Staff are in close proximity 3. Dialysis patients are immunocompromised All dialysis surfaces must be disinfected with _____ bleach solution until surfaces is glistening _____ and then allow to - Correct Answer-1:100/ wet/ air dry A ______ bleach solution is used to disinfect a large spill greater than ______ - Correct Answer-1:10/ 10 ml The following are examples for what process: during initiation and termination of dialysis; cannulation of an access; needle adjustment; changing a transducer; setting up a dialysis machine - Correct Answer-Examples of procedures where exposure may occur and PPE must be worn What 3 blood borne pathogens are found in a dialysis unit? - Correct Answer-hep b, hep c, and HIV What steps should you take in the event of an exposure incident? - Correct Answer-1. Wash/ rinse area immediately 2. Report incident to clinical manager or charge nurse 3. Seek medical tx within 1-2 hrs Hep B is extremely contagious and can live in the environment and remain viable on surfaces for at least ____ days - Correct Answer-7 How are Hep B patients dialyzed? - Correct Answer-In an isolation room with their own dedicated equipment such as BP cuff and stethoscope, tourniquet, etc These should be used to work on computer information in the isolation room. - Correct Answer-Clean Gloves True or False? Tx sheets and medical records can enter the isolation room - Correct Answer-False: If tx sheets are used, the tx sheets cannot enter the isolation room. Nor can medical records Staff members should not care for these two types of patients on the same shift at the same time. - Correct Answer-HBV and patients that are susceptible to HBV Where do hep c patients dialyze and why? - Correct Answer-In the clinical area, hep c is not contagious and is is not known to survive for very long outside of the body How is hep c transmitted? - Correct Answer-Through contaminated blood transfusions in the past or from sexual contact How is hep a transmitted? - Correct Answer-contaminated food and the oral-fecal route Which blood test indicates infection with Hep B? - Correct Answer-HbsAg (HBsAg is the surface antigen of the hepatitis B virus. It indicates current hepatitis B infection.) Which blood test indicates the presence of immunity against Hep B? - Correct Answer-HBsAb (The HBsAb test, or hepatitis B surface antibody test, looks for antibodies that your immune system makes in response to the surface protein of the hepatitis B virus.) Which vaccines provides long-term immunity to Hep B? - Correct Answer-Recombivax or Engerix Is latent TB contagious? - Correct Answer-Latent tuberculosis is not contagious, but can become active w/o tx The following are signs and symptoms for what???Night sweats, productive, persistent cough, unexplained weight loss, chills and fever, blood-tinged sputum - Correct Answer-Tubercolosis How is TB spread? - Correct Answer-TB is spread by droplet nuclei produced from infected individuals when they cough, sneeze, sing or speak Where do TB patients dialyze? - Correct Answer-Not in the Clinic!!!! In accordance with FMS policy what must TB patients have before they are allowed to return to the clinic??? - Correct Answer-3 consecutive negative sputum cultures, ppd testing and chest x-rays According to the new FMS policy, hands should be washed with soap and water for _____ seconds and sanitized with alcohol for ___ seconds - Correct Answer-40-60 seconds/ 20-30 seconds What are the 3 basic PPE's? - Correct Answer-1. Long sleeve gown 2. face shield w/mask 3. gloves