Clinical Annual Competency Exam – Fresenius quiz questions and answers

The adequacy of a dialysis treatment may be compromised by Inadequate Heparinization Routine post dialysis treatment documentation on the patients dialysis treatment record should include patients blood pressure and temperature both Post reinfusion and prior to disconnection Individual acid containers should be labeled with Chemical content The patient complains of pain at the catheter exit site. What would the PCT do first? Notify the RN Which of these findings noted on a safety check would indicate that an intervention is needed. Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured on the venous line) The patient presents to the dialysis center with a pulse rate of 44/bpm but doesn't appear to be in distress. What should be the dialysis technicians immediate action? Notify the RN Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist the staff member in Assessment for possible clotting in the dialyzer Which of the following would minimize bacterial growth in the water treatment system? Circulation of water during the day only A major factor affecting ultrafiltration is Pressure Pre-treatment evaluation of an internal vascular access includes Palpating for a thrill A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms are most likely to indicate that the patient has Hypotension If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do next? Check the dialysate effluent with a blood leak test indicator Which has the most impact on dialyzer clearance? Surface area of the dialyzer The patient exhibits signs of hemolysis. What is the appropriate action to take? Turn the blood pump off, clamp the venous line. Softener tanks remove Calcium and magnesium During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine before the machine is used by another patient? Technical must perform a functional test on the machine. The following KECN's are noted: the results indicate a Time KECN. TIME KECN 00:15. 268. 01:45. 243 00:45. 254. 02:15. 240 01:15. 242. 02:45. 238 Low clearance, hold heparin dose The arterial needle is placed Either with or against the flow of blood An important factor in achieving adequacy during machine set up is Priming the dialyzer venous end up The FMC program that utilizes technology to improve our patient care is Ultra Care The component of the dialysate that helps treat acidosis is Bicarbonate The PCT notices the patient yawning toward the end of treatment. The PCT should take which action immediately Check the patient blood pressure Several patients with normal pre-dialysis temperatures develop sudden chills and a spike in temperature. This situation is most likely caused by Presence of endotoxins in the dialysate What is the correct blood flow rate for priming the dialyzer 150 ml/min What is NOT true when cannulating a new AVF? Use of a tourniquet is optional when cannulating a new AVF If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is Weekly Using the sodium variation module during the dialysis treatment will Aid in fluid removal Oral nutrition supplements are given to FMS in-center dialysis patients who are malnourished while they are at the dialysis facility for what reason? To improve nutritional status and ensure compliance with oral intake and reduce the risk of morbidity and mortality When instructing patients with CKD, who are receiving dialysis, the RN should include the fact that Elevated potassium levels may cause changes in heart rhythm One way to establish a patient has orthostatic hypotension is to obtain a patients Sitting blood pressure followed by the standing blood pressure The QSR is a monthly report detailing quality outcomes as primary or secondary. Primary quality outcomes are those that have the highest impact on patient survival. These include Albumin, Hgb, Phosphorous, Adequacy, Catheter Rate Dialysis has been initiated on a patient using a right internal jugular catheter, as the blood pump is turned up to 200 ml/min, foam begins to accumulate in the lines. The patient begins to wheeze, and becomes short of breath. The care givers FIRST action would be to Clamp the venous line If the bicarbonate jugs have been in storage and are needed for emergency use, what action must be taken prior to use? Disinfect with 1:100 bleach water and rinse with RO water until negative for bleach According to FMS policy, the safe level for total chlorine is Less than 0.10 ppm