Dialysis Technician CCHT study guide Questions Answered 100% correct

Dialysis Technician CCHT study guide Questions Answered 100% correct Prior to treatment, a reprocessed dialyzer must be visually inspected. The reason is: A..To make sure it is labeled correctly B.To assure no structural damage has occurred ALL EXCEPT C Ultra pure dialysate Use of a diasafe filter allows the prodution of Saline Normal__________ is used to rinse and prime the tubing of the extracorporeal circuit to remove sterilant and air clotting Air is removed from the extracorporeal circuit before initiating treatment because it may cause______ when trapped in the dialyzer blood lines/ open The most likely cause of contamination of the extracorporeal circuit are _______ in the prime bucket with _____ end caps air A low-level arterial drip chamber can result in ______entering the system causing an air embolism or clotting conductivity is the ability of a substance to conduct an electrical charge blood leak When blood escapes from the dialyzer blood compartment into the dialysate fluid compartment, this is known as a _____ 6.9 and 7.6 The final dialysate must have a pH between daily How often should staff clean the dialysis machine with acid? Before each treatment When should alarm and Pressure Holding Tests ( PHT) should be performed on dialysis machines? air in the dialyzer what is removed by normal saline during the priming process? +/- 0.5ms of the Theoretical Conductivity Before the start of treatment, check that the machine's coductivity alarm parameters are set at a-- after cleaning with acid You should disinfect the dialysis machine with heat after doing what? bacteria, conductivity, cholrine/chloramens and PH You should test the dialysate for these four things before starting treatment the machine was in by pass for 30-min The wall clock indicates the patient has had 3 hrs of treatment and the machine indicates only 2 1/2 hrs treatment. What happened? 40-60 seconds When washing hands with soap and water, how long must you wash your hands? 20-30 seconds When cleaning hands with hand sanitizer, how long must you rub your hand? diabetes The number one cause of chronic renal failure is---- True When going from a dirty area to retrieve supplies in a clean area, staff are required to complete hand hygiene True Hazardous Material Identification System HMIS labels are required on all hazardous materials, including individual bicarbonate containers. 1 parts bleach and 10 parts water solution The first batch bleach solution used to clean a large blood spill area ( greater than 10mL/s) is? blood and body fluids The main route of transmission of Hepatitis B in Hemodialysis facilities is by exposure to infected? remove gloves, sanitize hands, put fresh pair of gloves on When caring for a patient who is Hepatitis B positive, after disconnecting the bloodlines, the technician MUST perform which 3 actions before documenting? seperate____dedicateed According to the CDC, patients who are Hepatitis B surface Antigen (HBsAg) positive should be dialyzed in a _________ area of the dialysis center, on ________ machine Remove gloves, wash/sanitize hands and retrieve items What MUST the dialysate technician do prior to leaving the patient at the dialysis station to get clean supplies? Blood splatter You must wear a full-face shield, or mask with googles, when in an area with a risk of______ examine / an access Prior to applying the blood pressure cuff on a new patient, the patient care technician should_______ both the patient's arms for the presence of ________ dry weight Availble weight gain is described as the pre-treatment weight minus_____ an infection A red and warm vascular access may be a sign of____ thrill Pre-treatment evaluation of an internal vascular access includes palpating for a ______ Gloves, full face shield or mask/protective eye wear w/side shield, fluid resistance gown What three items of PPE are required when performing? flipped Damage to the intimal lining of the vessel is likely to occur when the needle is_______after insertion. tourniqute---1.5 to 2.0 When cannulating a new A-V Fistula: always apply a __________stay at least___________inches from the anastomosis (NOT exceed -250 mmHg uncovered) -250 Pre-pump arterial pressure should NOT exceed________mm/Hg uncovered Make sure access is stabilized and remains__________ above/ice The patient's venous needle has infiltrated, and another needle needs to be inserted. You should insert the new needle______the infiltrate and apply____to the area. engaged while When removing needles from an internal access, the needle should be___________removing the needle from the patient's access recirculation Access_________can jeopardize the adequacy of a dialysis treatment. removed from the access You should apply the access needle safety devices as the needle is being___________ 270 An arterial pressure reading of negative _______ can cause blood to hemolyze either with or against the flow of blood In which direction of blood flow should you place the patient's arterial needle? with the flow of blood In which direction of blood flow should you place the venous needle? 180/100 Report a blood pressure reading over_________to the nurse 60-100 Report a pulse less than 60 or greater than 100 beats per minute to the nurse 30 seconds Before cannulating a patient's access, you should clean the site for a least how long? butterfly ld pshos After cannulating an access, you should place the tape directly over the________ 3-5 minutes How long should you wait to initate treatment after administering a heparin bolus? Diffusion In the body, substances move in to and out of cells through the cell memebranes by what process Intravascular compartment Fluid removed during dialysis comes from the? Benadryl All of the following are products used to reduce the pain of cannulation except for: size of molecules dialysate temperature countercurrent flow concentration gradient on each side of the membrane ALL OF THE ABOVE How quickly solutes (or particles) diffuse across the membrane is determined by: False The semi permeable membrane inside the dialyzer allows molecules of all sizes to pass through into the dialysate compartment Straight vessels Which of the following is NOT a contraindication for the placement of a fistula? Do not lift anything heavy with your access arm Do not wear tight clothing or jewelry on access arm Do not allow routine blood draws or blood pressures on your access arm ALL OF THE ABOVE Education for a patient with a new internal access would include: Arteriovenous graft Which type of access is created using a artificial material connecting an artery to a vein? False Blood and dialysate mix inside the dialyzer during the dialysis treatment I went to the emergency room on Saturday evening with nausea and vomiting, but I am over it now.. I went to my kidney doctor's office on Friday afternoon and i am feeling better now with this new BP medicine During your pre-evaluation, which of the following statements would be relevent for the nurse to know about your patient's physical condition? Choose two: I'm glad that you are feeling better. We also need to get your blood cleaned, so it's inportant to stay for the rest of your prescribed treatment time. Mr.s Robbins wants to end her treatment early today. She states that she is breathing much better, so she really doesn't need to stay on any longer. Which statement below would be appropriate?