DIALYSIS FINAL QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

DIALYSIS FINAL QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 Peritoneal dialysis differs from hemodialysis in which of the following ways? - ANSWER C - PD access is by an intra -abdominal Cather Which of the following Kidney structures connects with and delivers urine directly to the ureter - ANSWER Pelvis Which of the following dialyzers is used currently? - ANSWER Hollow tube The glomerular Filtration rate is an important index of renal function and in the normal adult is approximately - ANSWER 125 mL/min/1.73 mz all of the following substances are produced by the kidney Except: - ANSWER ablosterone The most likely cause of post -renal failure is - ANSWER benign prostatic hypertrophy The most common cause of chronic kidney disease in the United States is: - ANSWER diabetes Uremia may cause which of the following conditions - ANSWER anemia, itching, edema of the extremities all of following conditions are associated with chronic kidney failure except - ANSWER hypoparathyroidism what percentage of transplanted kidneys is functional 1 year after transplantation - ANSWER 90 % Which hemodialysis schedule is likely to be most efficient - ANSWER short daily home hemodialysis 2 -3 hours a session 5 -7 days a week The fluid restriction for most patients undergoing in center hemodialysis is equal to urine volume/day plus - ANSWER 1 liter Failure to excrete beta2 -microglobullin in patients with kidney failure predisposes to - ANSWER Amyloidosis Blood test for ferritin are performed in hemodialysis patients - ANSWER to check for iron store Untreated water meeting the association for the advancement of medical instrumentation (AAMI) standards, the maximum allowable CFU of bacterial contamination is - ANSWER 200 According to the association for the advancement of medical instrumentation (AAMI) standard, the endotoxin or limulus amebocyte (LAL) level shall not exceed - ANSWER 2 EU/ML All of the following are likely contributing factors to frequents clotting of dialyzers on a machine excepts - ANSWER High dialysate flow rate Intreated water meeting the association for the advancement of medical instrumentation - ANSWER 200 when trying to remove large amounts of fluid weight during a treatment, the only parameter that can be controlled by the technician is the - ANSWER Transmembrane pressure Which of the following is recommended by the centers for disease control and prevention regarding infectious diseases - ANSWER Universal Isolation practices and segregation of patients positives for hepatitis B antigen The approach recommend by the centers for disease and Prevention (CDC) and referred to as Dialysis precautions includes all of the following excepts that - ANSWER Mouthpieces, resuscitation bags, or other ventilation devices should be available for use in areas in which the need for resuscitation is predictable In the event a major fire is discovered in an areas by patients, the first action should be to - ANSWER Rescue the patients in the immediate areas Hyperkalemia is a severe complication for patients on hemodialysis because it can produce - ANSWER lethal cardiac arrhythmias The dialysis staff should not smoke eat, or drink in the dialysis treatment area or laboratory primarily because doing so - ANSWER may spread infection Symptoms of hepatitis include - ANSWER Nausea and vomiting, fatigue, enlarged liver, right upper quadrant abdominal pain, and jaundice The best way to dispose of used blood tubing, dialyzers, and other blooding containing components is to - ANSWER place in an impervious trash bag marked biohazards and follow institutional policy for disposal of hazardous waste Ten patients who have been dialyzing from 1 to 1 1/2 hours suddenly begin to experience fever, itching, puffy eyelids, nausea, and red blotchiness. The patients most likely are exhibiting signs of - ANSWER a pyrogenic reactions which steps should the nurse take if a patients experiences cardiopulmonary arrest while on dialysis - ANSWER establish unresponsiveness, assess for absence of carotid pulse, call for assistance, begin CPR, discontinue dialysis, assist with intubation and artificial ventilation, and administer drugs according to unit protocol, discontinue dialysis A patients with "hard water syndrome" could exhibit - ANSWER Nausea, vomiting and muscular weakness A patients who is in fluid overload may exhibit all of the following conditions excepts - ANSWER Orthostatic hypotension which of the following is the most likely cause when a patients develops a fever after hemodialysis treatment has begun - ANSWER Pyrogenic reactions all of the following are potential problems associated with the use of bicarbonate dialysate except - ANSWER Precipitation of calcium and magnesium in the delivery system