Dialysis Technician Final Exam Review Questions & Answers Rated 100% Correct!!

Dialysis Technician Final Exam Review Questions & Answers Rated 100% Correct!! What is the ability of a substance to conduct an electrical charge Conductivity Normal what is he used to roots and prime the tubing of extra corporeal circuit to remove Sterilant and air Saline Air is removed from the Instacart Photos circuit before initiating treatment because it may cause what when trapped in the dialyzer Clotting The most likely cause of contamination of extra corporeal circuits or what in the prime bucket with what in caps Bloodline & open A low level arterial drip chamber Kimbra's all in what entering the system causing a air embolism or clotting Air When blood escapes from the dialyzer blood compartment into the dialysate fluid compartment this is known as Blood leak The final dialysis he must have a pH between what and what 6.9 and 7.6 How often should staff clean the dialysis machine with acid Once a day When should alarm and pressure holding tests Should be performed on dialysis machines Before each treatment What is remove a normal Saline during the priming process Air Before the start of treatment, check the machines conductivity alarm parameter are set at a Plus or minus 5 You should disinfect the dialysis machine with heat after doing what Acid disinfect You should test the machine for these four things before starting treatment Bacteria, conductivity, chlorine/chloramines, and pH The wall clock indicates the patient has three hours of treatment in the machine and a case only 2 1/2 treatment hours. what happened? The machine was in bypassed for 30 minutes Prior to applying the blood pressure cuff on a new patient, the patient care tech should blank both patient's arm for the presence of blank Examine and access Available weight gain is described as a pre-treatment minus Estimated dry weight A red and warm vascular access may be a sign of Infection Pre-treatment a violation of internal vascular assets include palpating for a Thrill What three items of PPE are required when performing venipuncture Gloves, for facial or mask and protective eyewear with Side shield and fluid resistant gown Damage to the initial lining of the vessel is likely to occur when the needle is blank after incision Flipped When cannulating a new AV Fistula always applies the blank and stay at least blank to blank inches from the incisions Tourniquet and 1 1/2 to 2 inches Pre-pump arterial pressure should not exceed -250 Make sure access is stable and remains what Uncovered The patient's Venus needle has infiltrated and another needle and needs to be inserted you should insert the new needle _______ The infiltrate and apply what to the area Above and ice We're removing needles from Anna internal access, the needle should be ______ Removing the needle from the patient's access Engaged While removing the needle from the patients access Access _________ Can jeopardize the adequacy of a dialysis treatment Recirculation You should apply the access needle safety device as the needle is being Disengaged Report a blood pressure over 180/100 to the nurse Report It cost less than what or greater than what beats per minute to the nurse 60 and 100 Before calculating a patient access, you should clean the site for at least how long 30 seconds After cannulate in an access you should place the tape directly over the Wings How long should you wait to initiate treatment after administering heparin bolus 3 to 5 minutes Normal Celine is used to remove what and what from the extracorporeal circuit Sterilant and air Improperly prime dialyzers bloodline can increase the risk of what and what in the dialyzer Air embolism and clotting A low arterial alarm sound. The staff member should look for a possible cost in the circuit from the Arterial needles through to the blood pump When a high wenis alarm sounds, you should look from the top of the _____ through time the end of the _______ to determine the cause Venous chamber & Venous needle The adequacy of a dialysis treatment may be compromised by inadequate Heparization The patient presents to the dialysis center in with a pulse rate of 44 bpm but does not appear to be in any distress. What should be the dialysis technician immediate action Notified the nurse Don't dialysis, the patient blank and blank must be uncovered Access and face The adequacy of a dialysis treatment may be compromised by inadequate Heparization How many ml of saline Must be in the saline bag at the start of treatment 300ml The arterial chamber must be how full at the start of treatment 85 to 95% full The venous chamber must how full at the start of treatment 65 to 75% full What position should the transducer Clamps be in before starting the treatment Open Working result from low level arterial pressure drip chamber Air It's the needle infiltrates, the first thing you should do is turn off the Blood pump During dialysis, a large clot is noticed In the venous chamber. The clinical should replace the Venous line The venous pressure on the dialysis machine begin to rise but the venous needle is not infiltrated . the most likely cause is a clotted Venous line The condition most likely to rise the venous pressure is Venous needle occlusion When it is suspected that a patient has a air embolism, the first intervention, should be to ________the patients ___________ Clamp, bloodline A major complications that can occur when the patient is dialyzed to hypotonic dialysate is Hemolysis Hypokalemia ( High potassium) can result in ________ and ______ Muscle weakness and death What is an acceptable range for a KECN value 200- 300 You notice a large amounts of blood pooling under the patient's chair what should you do Turn off the blood pump, clamp the lines, and call for help Which of the following complications is most likely caused by a kink in the bloodline Homolysis Excessive fluid removal during dialysis, Combine with the patients taking an antihypertensive medication may result in the patient having Hypotension A patient is being observed for symptoms of uremia which include Loss of appetite Hemolyzed blood can be caused by And arterial pressure of -270 During the final 30 minutes of dialysis, the patient complains of blurry vision and dizziness. The caregivers should evaluate for signs of Hypotension The group of symptoms that include feeling of faintness, double vision, perspiration, Irritability and hunger may be associated with what patient complication Hypoglycemia The primary cause of anemia in dialysis patient is Decrease in the production of erythropoietin During safety checks the technician notes the following; Which one requires intervention Access And the patients face are covered What happens when the dialysate flow stops during dialysis The patient's blood is no longer getting cleaned Which alarms will not stop the blood pump Blood pressure alarm A patient begins to experience shortness of breath, chest pain, and sudden hypotension, the blood is bright red and translucent. The complication most likely occurring is: Hemolysis Chloramines or bleach In the dialysate During dialysis can cause a patient death due to Hemolysis Improperly prime dialyzers and bloodlines can increase the risk of Air embolism's and clotting in the dialyzer To properly collect post bun sample, it is necessary to turn off the Ultra filtration rate To determine the adequacy of dialysis treatment, evaluate the _________ lan value BUN We are removing needles from the internal access the needle safety devise should be ____________ While removing the needle from the patient access Engaged When a conductivity alarm occurs, the machine enters Bypass mode When teaching a patient about the prevention of hypertension During treatment, the nurse should instruct the patient to measure their daily _________including foods that ________ at room temperature Food intake, melt The first thing you should do if a special needle has infiltrated is turn off the Blood pump A rise in transmembrane pressure during hemodialysis is likely to indicate Clotted fibers Sharps containers must be replaced when they are 2/3 to 3/4 full Urine flows through the _______ from the kidneys, to the___________ to the___________ to the ___________ Urinary tract, ureters, Bladder, Urethra A __________Is consider the access of choice because they have the lowest complication rate Fistula A patient with severe hypertension is to start Hemodialysis. The patient does not have diabetes or cardiac problems. What type of access is preferred AV fistula The goal of dialysis is to remove_________ remove excess___________ and regulate __________ Waste water and electrolytes Name the three places in the body were most of the water is located Inside a cell ( intracellular), between the cell ( Interstitial) , and in the blood ( extracellular) What are the two concentrates that make up do you dialysis bath Acid and bicarbonate What is the name of the system in which the patient blood circulate outside his/her body through the needle, dialyzer and bloodline Extracorporeal circuit What agency is the primary payor of dialysis treatment Center of Medicare/ Medicaid services (CMS) What should you say if a survey or access you a question for which you don't know the answer I don't know and I will find the answer for you To guarantee expert patient care, staff must follow policy and procedure with Every task, every procedure, every patient, every day _____________ is the term used to describe the movement of fluid through the semi permeable membrane from an area of low salute concentration to an area of high concentration Osmosis ___________ Can be defined as the movement of particles through a semi- permeable membrane from a greater to lesser concentration Diffusion A major factor affecting ultrafiltration is pressure A rise in _______________________ during hemodialysis is likely to indicate clotted fibers Transmembrane pressure ( TMP) Water in the dialysate may also be referred to as ___________ water (RO) reverse osmosis water Countercurrent flow of blood and dialysis increases the rate of Diffusion Dialysate use for in Center hemodialysis is Nonsterile Who ultimately determines the dialysate bath used for a patient treatment Physicians only Individual acid containers must be ______________ with chemical content Label Three solace that must be present in the prescribe dialysis solution Sodium bicarbonate, potassium, and calcium Besides potassium, and electrolytes that is commonly adjusted in the hemodialysis acid bath is Calcium The three ingredients in a dialysis solution/bath are Calcium, Bicarbonate, and RO water A major complications that can occur when the patient is dialyzed size on a hypotonic dialysate is Hemolysis The _____________ Area of the dialysate has the most impact on the dialyzer clearance Surface Which of the following would adversely affect Clarence Air in the dialyzer Dialysis is affected by four things Dialysate flow, dialysis treatment time, dialyzer size, and blood flow rate The three types of errors associated with a " just culture" are Simple human At risk Reckless Near misses, I sometimes referred to as a _________________ because they help diagnose a ____________ and reduce ___________ Good catch, System problem, patient injuries Failure to report errors or near misses can result in An adverse event The three keys to a culture of safety are Communication, error learning, and the right way Reporting an adverse event is a _________________ Requirement that provides opportunity to identify report and evaluate Regulatory Near misses are also referred to as good catch because, reporting a near miss can diagnose ____________ and reduce patient ___________ A system problem, injury Failure to report ____________ or ______________ Can result in an adverse event, and an increase of patient injury Errors or near misses Is the find as anytime there is failure to follow establish procedures, treatment description, or an event that caused patient injury or death Adverse event Don't dialysis a patient has a cardiac arrest. What action should be completed on a dialysis machine before the machine is used by another patient? A functional test To prepare for a disaster such as a hurricane your possible flooding, staff shut lock down __________, seal ______________________ and secure all in the locked Lids on sharps container Boxes/bags Hazardous storage room The purpose of maintaining a log of water quality check is to prove ___________ Has been documented Safe water A decrease in KECNby more than 10%, or a reading less than 200 might indicate Clotting Access ____________ can jeopardize the adequacy of the dialysis treatment Recirculation In adequate _______________ Or improper priming May contribute to Clotted fibers Heparization Clotted fibers and air pockets decrease the surface area of the dialyzer, which has the most impact on Clarence The adequacy of a dialysis machine may be compromised by the inadequate Heparization When a conductivity alarm occurs, the machine enters Bypass mode A blood leak alarm has occurred. There is no blood visible in the effluent dialysate. The presence of blood can be verified by testing the Effluent dialysate When it is suspected a patient has an air embolism, the first intervention should be to Clamp the patients venous bloodline A patient's air detector alarm sound. CLOT Is the acronym for actions that I've taken in response to a patient who is experiencing symptoms of an air Embolism. Define what each letter signifies C= clamp ( clamp a venous line not the arterial) O= off ( turn off the blood pump) L= left ( placed a patient on her left side) T= Trendelenburg head down 45 degrees The online clearance (OLC) spKt/V goal for each treatment is 1.4 A group of symptoms that include filling a faint nerve, double vision, irritability, perspiration, and hunger may be associated with what patient complications Hypoglycemia Hypoglycemia