A PCT greets a patient and the patient reports feeling short of breath. The PCT notices
that the patient's lips have a blue hue. The PCT would: - ANS - -----
Acid concentrate replaces the excretory function of normal kidney function by: - ANS -
providing electrolytes in lower than normal concentrations to allow for diffusion of waste
products to move from the blood to the dialysate waste line.
Can you document patient vital signs under another teammate already signed into the
computer? - ANS - Nah
Convection: - ANS - Solutes and water are dragged across the semipermeable
membrane.
Diffusion: - ANS - The movement of dissolved particles from the side with the higher
concentration to the side with the lower concentration.
Endocrine kidney functions: - ANS - Renin secretion, Erythropoietin secretion, vitamin
D activation
Excretory kidney functions: - ANS - Fluid balance, electrolyte balance, waste removal,
acid/base balance
Fully functional hemodialysis replaces what percent of normal kidney function? - ANS -
15%.
How do you verify that the patient is stable and safe for discharge after the dialysis
treatment?
A) Evaluate the effectiveness of the treatment by comparing data to pre-dialysis findings
B) PCTs notify the nurse if there are any unusual finding
C) Nurses perform a post treatment assessment as required
D) All the above - ANS - D) All the above
If clotting occurs in a high flux dialyzer, the TMP will - ANS - Decrease.
, If your facility dialyzes Hepatitis B positive patients, which assignment would NOT be an
appropriate patient care assignment?
A) Caring for HBsAg positive and Hepatitis B immune patients at the same time
B) Caring for HBsAg positive and Hepatitis B susceptible patients at the same time
C) Caring for Hepatitis B susceptible patients and those in the process of receiving the
vaccination at the same time
D) Caring for Hepatitis B immune and susceptible patients at the same time - ANS -
B) Caring for HBsAg positive and Hepatitis B susceptible patients at the same time
In states that do not require a nursing assessment to be completed prior to treatment
initiation, the PCT would be required to report abnormal patient data collection findings:
- ANS - To the nurse
Knowing what caused your patients' renal failure
A) Is not necessary because it does not affect the dialysis treatment itself
B) Is only important if the underlying disease cause additional health problems
C) Is important to inquire about possible problems during data collection and
assessment
D) Is recommended to decide on the best treatment modality for the patient - ANS - C)
Is important to inquire about possible problems during data collection and assessment
Needle gauges corresponding with BFR ranges: - ANS - 17G=200-250 mL/min
16G=250-350 mL/min
15G=350-450 mL/min
14G=more than 450 mL/min
Needle gauges with corresponding arterial pressures: - ANS - 17G: -150mmHg or less
16G: -200mmHg or less
15G: -220mmHg or less
14G: -260mmHg or less
Normal post-tx BP range? - ANS - Under 130/80
Osmosis: - ANS - the movement of water/solvent across a semipermeable membrane
from the side with the lower solute concentration to the side w/higher solute
concentration. Eventually results in equilibrium.
Per the CDC, which is the most common factor contributing to bacterial infections in
dialysis patients?
A) Inappropriate skin preparation prior to vascular access needle insertion