Dialysis Exam 2023 Questions and Answers

When washing hands with soap and water, how long must you wash your hands? - Answer- 40-60 seconds When cleaning hands with hand sanitizer, how long must you rub your hands? - Answer- 20-30 seconds What is the #1 cause of chronic renal failure? - Answer- Diabetes True or False When going from a dirty area to retrieve supplies in a clean area, staff are required to complete hand hygiene? - Answer- True True or False Hazardous Material Identification System HMIS labels are required on all hazardous materials, including individual bicarbonate containers - Answer- True What is the first bleach solution used to clean a large blood spill area (greater than 10mL/s)? - Answer- 1:10 1 parts bleach 10 part water What is the main route of transmission of Hepatitis B in Hemodialysis facilities? Exposure to infected... - Answer- Blood and body fluids When caring for a patient who is Hepatitis B positive, after disconnecting the bloodlines, the technician MUST perform which 3 actions before documenting? - Answer- Remove gloves, sanitize, put on fresh gloves According to CDC, patients who are Hepatitis B surface antigen (HBsAg) positive should be dialyzed in a _________ area of the dialysis center on a ___________ machine. - Answer- Separate, dedicated What MUST the dialysis technician do prior to leaving the patient at the dialysis station to get clean supplies? Remove _________ , _________ hands and retrieve items. - Answer- Gloves, wash/sanitize The dialysis technician has performed a rinseback on a patient and failed to gather all supplies needed to disconnect the patient. What 2 things MUST the dialysis technician do prior to getting clean supplies? - Answer- Remove gloves, wash hands You must wear a full-face shield, or mask with goggles, when in an area with a risk of? - Answer- Blood spatter Use of diasafe filter allows the production of? - Answer- Ultrapure dialysate (on very back of machine) Normal ______________ is used to rinse and prime the tubing of the extracorporeal circuit to remove sterilant and air. - Answer- Saline Air is removed from the extracorporeal circuit before initiating treatment b/c it may cause ____________ when trapped in dialyzer. - Answer- Clotting The most likely cause of contamination of the extracorporeal circuit are __________ in prime bucket with _________ end caps. - Answer- bloodlines, open A low level arterial drip chamber can result in ________ entering the system causing an air embolism or clotting. - Answer- Air _____________ is the ability of a substance to conduct an electrical charge. - Answer- Conductivity When blood escapes from the dialyzer blood compartment into the dialysate fluid compartment, this is known as a _______________? - Answer- Blood leak The final dialysate must have a PH between ____ - _____ ? - Answer- 6.9-7.6 How often should staff clean the dialysis machine with acid? - Answer- Daily When should alarm and pressure holding tests (PHT) should be performed on dialysis machine? - Answer- Before each tx What is removed by normal saline during the priming process? - Answer- Air in dialyzer Before the start of tx, check that the machine's conductivity alarm parameters are set at ______________ of the machine's theoretical conductivity. (TCD) - Answer- +/- 0.5 You should disinfect the dialysis machine with heat after doing what? - Answer- Cleaning with acid What does cleaning the dialysis machine with acid do? - Answer- Cleans the bi carbonate What does cleaning the dialysis machine with heat do? - Answer- Kills bacteria In addition to safety checks, what tests must you perform to ensure a safe patient treatment? - Answer- meter conductivity and ph Why do you compare the machine conductivity setting to the meter conductivity results? - Answer- To make sure screen display is accurate Prior to applying the bp cuff on a new patient, the patient care technician should __________ both the patient's arms for the presence of __________? - Answer- examine, access Available weight gain is described as the pre-treatment weight minus __________? - Answer- Dry weight A red and warm vascular access may be a sign of? - Answer- Infection Pre-treatment evaluation of an internal vascular access includes palpating for a ? - Answer- Thrill What 3 items of PPE are required when performing venipuncture? - Answer- gloves, gown, full face shield Damage to the intimal lining of the vessel is likely to occur when the needle is _________ after insertion? - Answer- Flipped When cannulating a new AV fistula: