Clinical Annual Competency Exam - Fresenius (Complete Answered 2022/2023 guide)

Clinical Annual Competency Exam - Fresenius (Complete Answered 2022/2023 guide) - The adequacy of a dialysis treatment may be compromised by - Routine post dialysis treatment documentation on the patients dialysis treatment record should include patients blood pressure and temperature both - Individual acid containers should be labeled with - The patient complains of pain at the catheter exit site. What would the PCT do first? - Which of these findings noted on a safety check would indicate that an intervention is needed. - The patient presents to the dialysis center with a pulse rate of 44/bpm but doesn't appear to be in distress. What should be the dialysis technicians immediate action? - Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist the staff member in - Which of the following would minimize bacterial growth in the water treatment system? - A major factor affecting ultrafiltration is - Pre-treatment evaluation of an internal vascular access includes - A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms are most likely to indicate that the patient has If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do next? - Which has the most impact on dialyzer clearance? - The patient exhibits signs of hemolysis. What is the appropriate action to take? - Softener tanks remove . - During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine before the machine is used by another patient? - The following KECN's are noted: the results indicate a Time KECN. TIME KECN 00:15. 268. 01:45. 243 00:45. 254. 02:15. 240 01:15. 242. 02:45. 238 - The arterial needle is placed - An important factor in achieving adequacy during machine set up is - The FMC program that utilizes technology to improve our patient care is - The component of the dialysate that helps treat acidosis is - The PCT notices the patient yawning toward the end of treatment. The PCT should take which action immediately - Several patients with normal pre-dialysis temperatures develop sudden chills and a spike in temperature. This situation is most likely caused by - What is the correct blood flow rate for priming the dialyzer - What is NOT true when cannulating a new AVF? - If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is - Using the sodium variation module during the dialysis treatment will - Oral nutrition supplements are given to FMS in-center dialysis patients who are malnourished while they are at the dialysis facility for what reason? - When instructing patients with CKD, who are receiving dialysis, the RN should include the fact that - One way to establish a patient has orthostatic hypotension is to obtain a patients - The QSR is a monthly report detailing quality outcomes as primary or secondary. Primary quality outcomes are those that have the highest impact on patient survival. These include - Dialysis has been initiated on a patient using a right internal jugular catheter, as the blood pump is turned up to 200 ml/min, foam begins to accumulate in the lines. The patient begins to wheeze, and becomes short of breath. The care givers FIRST action would be to - If the bicarbonate jugs have been in storage and are needed for emergency use, what action must be taken prior to use? - According to FMS policy, the safe level for total chlorine is - What has the highest potassium content - What notification process would alert the staff of poor water quality during the dialysis treatment - Following FMC policy, when should the second hardness test be completed - According to AAMI standards the required exposure time of water to the carbon filters to effectively remove chlorine and chloramine is - If the second GAC (carbon) filter exceeds the acceptable limit for total chlorine, what is the next step? - Excessive fluid removal during dialysis, combined with the patients taking an anti hypertension medication may result in the patient having - When removing needles from an internal access the needles safety device - To properly collect a post BUN sample, it is necessary to - What PPE is required when performing venipuncture? - Conductivity is best described as the ability of a (n) - The patients blood leak detector alarms. After verifying the blood pump has stopped, what should the PCT do next? - What reading on the reverse osmosis (RO) machine indicates the level of water quality? - Which total chlorine reading is UNACCEPTABLE? . - The PCT observes a patient at the 30 minute safety check. What signs or symptoms will prompt the tech to wake the patient for further evaluation? - 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 - What is the correct level for salt in the brine tank? - Prior to applying the blood pressure cuff on a new patient, the PCT should - The carbon tank removes (Answer) Hazardous materials identification system (HMIS) labels - Individual bicarbonate containers must be labeled with - Source water is - What factor is most likely to affect dialysis adequacy - If the arterial pressure changes from -200 mmHg to -250 mmHg from the initiation of treatment, what would be a possible cause? - How long must the reverse osmosis machine (RO) run prior to collecting samples for water testing? - Blood pump occlusion and kinked lines would most likely cause which complication during hemodialysis? - What solution should be used to disinfect a large blood spill area (greater than 10 mLs) Which letters in the acronym COLT