Certified Dialysis Nurse Test Review

Deferoxamine (Desferal) - Answer-The nurse caring for a dialysis patient with known aluminum overload should be prepared to administer which medication during the latter part of the dialysis treatment to help correct this abnormality? Overdose of diuretics, Toxic exposure to pesticides. - Answer-What are the likely reasons that a patient would be prescribed hemoperfusion? most sedatives, theophylline, digoxin, and some pesticides and herbicides. Charcoal may be used in association with deferoxamine chelation to remove excess aluminum or iron from body tissues. - Answer-Hemoperfusion is more effective than hemodialysis for removal of - tissues are often edematous and extremely friable. - Patients with infections and rejection are almost always catabolic, edematous, and hypoproteinemic. -Cardiopulmonary and cardiovascular systems often labile, and hypotension or cardiac dysrhythmias and pulmonary congestion should be anticipated. - Answer-When caring for a patient who is experiencing a severe transplant rejection, what complications should the nurse anticipate? The most common adverse effect is skin rash. This solution should be used for no more than one exchange in a 24-hour period. - Answer-When educating a peritoneal dialysis patient about the prescribed icodextrin solution, which teaching points should the nurse include? - measure the volume of dialysate to be infused, - warm the dialysate to body temperature before infusion, - time the frequency of exchanges, - count the number of exchanges - measure UF. - Answer-Which teaching points must be mastered by patients before they can perform their automated peritoneal dialysis at home? - Infusion of a small amount of heparinized saline solution every 4-8 hours for the first 1-3 days postoperatively. - Low volume in and out exchanges with heparinized saline or dialysate until the effluent is no longer bloody. then daily for 1 to 2 weeks, and weekly thereafter until the patient is undergoing PD. - A small volume of heparinized solution should remain in the perit