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CERTIFIED DIALYSIS NURSE EXAMS REVIEW WITH VERIFIED QUESTIONS AND ANSWERS

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CERTIFIED DIALYSIS NURSE EXAMS REVIEW WITH VERIFIED QUESTIONS AND ANSWERSCERTIFIED DIALYSIS NURSE EXAMS REVIEW WITH VERIFIED QUESTIONS AND ANSWERSCERTIFIED DIALYSIS NURSE EXAMS REVIEW WITH VERIFIED QUESTIONS AND ANSWERSCERTIFIED DIALYSIS NURSE EXAMS REVIEW WITH VERIFIED QUESTIONS AND ANSWERSCERTIFIED DIALYSIS NURSE EXAMS REVIEW WITH VERIFIED QUESTIONS AND ANSWERSCERTIFIED DIALYSIS NURSE EXAMS REVIEW WITH VERIFIED QUESTIONS AND ANSWERSCERTIFIED DIALYSIS NURSE EXAMS REVIEW WITH VERIFIED QUESTIONS AND ANSWERS

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CERTIFIED DIALYSIS NURSE EXAMS REVIEW
l ll ll ll




WITH VERIFIED QUESTIONS AND ANSWERS
l l ll l




- Ability llto llprogram llthe llcycler llfor llthe llcorrect llnumber llof llexchanges/night.
- Ability llto llset llthe llmachine llto llwarm llthe lldialysate llto llbody lltemperature.
- Ability llto lltime llthe llfrequency llof llexchanges llthroughout llthe llnight.
- Ability llto llensure llalarms llfor llinflow llfailure, lloverheating lland llinadequate lldrainage
llare llon lland l l working.

- ANSWERS-Which llteaching llpoints llmust llbe llmastered llby llpatients llbefore llthey llcan
llperform lltheir l l automated llperitoneal lldialysis llat llhome?




- Dialysis lldiscontinued lluntil llthe llcause llof llsymptoms llis lldetermined ll& llthe llphysician llis
llnotified

- Do llnot llreturn llblood
- Administer llO2 llfor llbreathing lldifficulties
- Intravenous llantihistamines llor llepinephrine llmay llbe llordered llfor llanaphylaxis
- BP llsupport llmay llalso llbe llnecessary llfor llhypotension
- ANSWERS-Treatment llfor lldialyzer llreactions?

- Dry llpersistent llcough.
- Irregular llheart llrate lland llmuscle llweakness.
- Hypotension
- ANSWERS-When llassessing lla llCKD llpatient, llwhich llclinical llfindings lllead llthe llnurse
llto llsuspect llthe l l patient llhas lldeveloped lla llside lleffect llto lllisinopril, llan llangiotensin-

converting llenzyme ll(ACE) l l inhibitor?

- Edema llnoted llin llabdomen lland lllower lllegs.
- Hypotension
- ANSWERS-Laboratory llvalues llreveal llthat lla llCKD llpatient's llalbumin lllevel llis lllow.
llThe llnurse llwill l l likely llassess llwhich llsymptoms llof llhypoalbuminemia llin llthis


llpatient?




- Infusion llof lla llsmall llamount llof llheparinized llsaline llsolution llevery ll4-8 llhours llfor llthe
llfirst ll1-3 lldays l l postoperatively.

- Low llvolume llin lland llout llexchanges llwith llheparinized llsaline llor lldialysate lluntil llthe
lleffluent llis llno l l longer llbloody. llthen lldaily llfor ll1 llto ll2 llweeks, lland llweekly llthereafter


lluntil llthe llpatient llis llundergoing l l PD. ll- llA llsmall llvolume llof llheparinized llsolution

llshould llremain llin llthe llperitoneum llto llinhibit llthe l l formation llof llfibrin

-immediate lldialysis llneed: llFrequent, lllow-volume llexchanges ll(500-1000 llmL) llare

, performed llusing lla
ll l l cycler llwith llthe llpatient llin llthe llsupine llposition.

,- llANSWERS-During llthe lperiod llcalled llcatheter llbreak-in, llwhen llthe llperitoneal lldialysis llcatheter
llis l l placed lland llhealing llhas llbegun, llthe llnurse llshould llanticipate llwhich llprescribed lldialysis

llorders?


- It llensures llthe llteammate llhas llup llto lldate llcredentials llon llfile llthat llmeet llinternal
lland llexternal l l regulatory lrequirements

- It llis llused llby llsurveyors llduring llCMS llaudits llto llverify llcredentials
- It llis llused llby llsurveyors llduring llCMS llaudits llto llverify llproper lltraining lland
lleducation llhad llbeen l l completed

- It llprovides lla llpathway llfor lla llteammate llto llbe llpromoted
- ANSWERS-A llteammate's llfile llor lltranscript llmust llbe llkept llup llto lldate llby llthe llFacility
llAdministrator l l or lldelegate llbecause ll(select llall llthat llapply):




- less llthreatening llbut llmore llcommonly llseen llthan llType llA
- symptoms llusually lloccur llas llsoon llas llthe llpatient's llblood llis llexposed llto llthe lldialyzer
lland llreturned llto l l the llpatient

-ANSWERS-What llis lla llType llB lldialyzer llreaction?

- measure llthe llvolume llof lldialysate llto llbe llinfused,
- warm llthe lldialysate llto llbody lltemperature llbefore llinfusion,
- time llthe llfrequency llof llexchanges,
- count llthe llnumber llof llexchanges
- measure llUF.
- ANSWERS-Which llteaching llpoints llmust llbe llmastered llby llpatients llbefore llthey llcan
llperform lltheir l l automated llperitoneal lldialysis llat llhome?




- PD llmay llcause lla llfull llfeeling llin llthe llabdomen, llresulting llin lla lllower llintake llof llcalories
- PD llpatients llmay llabsorb ll150-1,000 llcalories/day llfrom llthe lldextrose llin llthe lldialysate
- ANSWERS-The llnurse llis lldiscussing llcaloric llneeds llwith lla llpatient llwho llis llon
llperitoneal lldialysis ll(PD). l l What llinformation llcan llthe llnurse llprovide llto llthe llpatient?




- Some llherbals llcan llbe lltoxic llto llthe llkidneys.
- Some llherbals llcan llaffect llblood llpressure llcontrol.
- Some llherbals llcan llaffect llanticoagulation.
- ANSWERS-A lldialysis llpatient llis llsharing llinformation llabout llher llfavorite llherbal
llremedies. llWhat l l reminders llshould llthe llnurse llbe llprepared llto llprovide llthe

llpatient?




- Sometimes llreferred llto llas ll"first-use llsyndrome" llbecause llsome llpatients lldevelop
llallergic-type l l symptoms llwhen llexposed llto llthe lldialyzer llmembrane llfor llthe llfirst

lltime

- Often llpresent llwith llanaphylactic-type llsymptoms.
- Usually lloccur llwithin llthe llfirst ll5 llminutes llof lltreatment
- ANSWERS-What llis lla llType llA lldialyzer llreaction?

- standardized lltest llof llperitoneal llmembrane llpermeability llused llto llestimate llthe
llsolute lltransport l l characteristics, llglucose llabsorption, lland llnet llUF.

- done ll1 llmonth llafter llinitiation llof lldialysis
-
- ANSWERS-What llis lla llperitoneal llequilibration lltest ll(PET)

, - Standing llsystolic llBP llgreater llthan ll140 llmm/Hg llor llless llthan ll90 llmm/Hg

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