Fresenius Exam 2023 Solved!!
What are the three main blood-borne pathogen's that pose a risk to hemodialysis
patients? - Answer Hepatitis B, hepatitis C and HIV.
What are the two most common causes of death in hemodialysis patients? - Answer
Cardiovascular complications and infection.
How is disease spread? - Answer Direct contact, indirect contact, airborne and
droplets
What technique must be used for cannulation, setting up machines, giving
medications, and removing patient needles? - Answer Aseptic technique.
How long must you wash your hands - Answer 40 to 60 seconds
How long do you rub your hands when using hand sanitizer? - Answer 30 seconds
What PPE is required when touching the extracorporeal circuit, giving meds,
cannulation and removing needles? - Answer Gloves, gown and face shield
Do you need to wear gloves when touching the dialysis machine? - Answer Yes
What bleach solution is used to clean the dialysis machine and patient chair? -
Answer 1:100 bleach solution
How long does hepatitis B live on surfaces? - Answer Seven days or more
As a treatment nurse, can you care for a hepatitis B patient while caring for a
immune deficient patient? - Answer No
May a dialysis machine being used for a hepatitis B patient be used on anyone else?
- Answer Not until the patient has been discharged from the center and is no longer
a patient there at which time the machine would need to be thoroughly cleaned and
disinfected inside and out prior to being used for anyone else
Does hepatitis C patients need to be isolated like the hepatitis B? - Answer No
Can an active tuberculosis patient be dialyzed at an outpatient clinic? - Answer No,
they must have three consecutive tests that are all negative prior to being able to be
dialyzed outpatient.
How long do you need to clean the top of a multidose vial? - Answer 30 seconds with
an alcohol swab
Can you use more than one multidose vial to fill a syringe? - Answer No, if there is
not enough drug in the first vial you must pull up the remaining medication needed in
a second syringe. Then label them one of two and two of two.
Can you give a medication that was drawn up by someone else? - Answer No
, Fresenius Exam 2023 Solved!!
What does it mean to re-circulate ? - Answer After priming the extracorporeal circuit,
you attach the arterial and venous lines together to form a loop then check the
dialysate with the phoenix meter. Once the dialysate has passed Phoenix meter test,
attach the red and blue Hansons to fill the dialysate compartment of the dialyzer. The
system stays like this with the blood pump running until you are ready to prime and
hook up the patient.
Can you invert a vial of Epogen? - Answer No,be careful not to shake the vial and do
not turn the while upside down.
What are the components of a dialysis order? - Answer Dialyzer type/size, correct
bath, sodium, bicarb, dialysate flow rate, Blood flow rate, needle size, time,
temperature, and OL CV.
What is the purpose of priming The extracorporeal circuit? - Answer Priming takes
the air and germicide out of the bloodlines and dialyzer.
What is the purpose of recirculation - Answer Recirculation keeps air and germicide
out of the bloodlines and dialyzer. During recirculation, air and germicide is sent
through circuit dialyze off any germicide or air that is left. The germicide travels from
the blood side of the dialyzer to the dilate side and then down the drain.
When inspecting the dialyzer what are you looking for? - Answer That it is the correct
dialyzer, not expired, not defective, no cracks, tears, and package is intact.
Key points to learn about priming and recirculation - Answer Air bubbles can cause
blood clotting in the dialyzer and tubing during a treatment. Prime and recirculate.
Make sure the air is removed from bloodlines and dialyzer.
How is the correct dialysate prescription entered into the dialysis machine - Answer
Temperature, time, DFR, BFR, Na, Bicarb, UF Goal, OLCv, Needle Size, and Profile.
What is theoretical conductivity - Answer TCD is the targetconductivity for the
prescribed concentrate base sodium and base bicarb. Conductivity based on a
particular prescription. TCD is calculated based on what the conductivity of a solution
or as ionic composition.
What is the safe range of conductivity based on the TCD? - Answer The conductivity
must be within plus or -.5 of the TCD.
What is the acceptable range at the Phoenix meter must be in relation to the
conductivity on the machine - Answer The phoenix meter and the machine must be
within plus or -.3 of each other.
What do you do if a blood leak occurs? - Answer Stop the treatment without
returning the patient's blood since it could be contaminated and cause infection.
When the blood leak alarms what do you do? - Answer Use the Hemastix strip to
check for blood it will change colors if positive. If blood or pink can be seen in the
What are the three main blood-borne pathogen's that pose a risk to hemodialysis
patients? - Answer Hepatitis B, hepatitis C and HIV.
What are the two most common causes of death in hemodialysis patients? - Answer
Cardiovascular complications and infection.
How is disease spread? - Answer Direct contact, indirect contact, airborne and
droplets
What technique must be used for cannulation, setting up machines, giving
medications, and removing patient needles? - Answer Aseptic technique.
How long must you wash your hands - Answer 40 to 60 seconds
How long do you rub your hands when using hand sanitizer? - Answer 30 seconds
What PPE is required when touching the extracorporeal circuit, giving meds,
cannulation and removing needles? - Answer Gloves, gown and face shield
Do you need to wear gloves when touching the dialysis machine? - Answer Yes
What bleach solution is used to clean the dialysis machine and patient chair? -
Answer 1:100 bleach solution
How long does hepatitis B live on surfaces? - Answer Seven days or more
As a treatment nurse, can you care for a hepatitis B patient while caring for a
immune deficient patient? - Answer No
May a dialysis machine being used for a hepatitis B patient be used on anyone else?
- Answer Not until the patient has been discharged from the center and is no longer
a patient there at which time the machine would need to be thoroughly cleaned and
disinfected inside and out prior to being used for anyone else
Does hepatitis C patients need to be isolated like the hepatitis B? - Answer No
Can an active tuberculosis patient be dialyzed at an outpatient clinic? - Answer No,
they must have three consecutive tests that are all negative prior to being able to be
dialyzed outpatient.
How long do you need to clean the top of a multidose vial? - Answer 30 seconds with
an alcohol swab
Can you use more than one multidose vial to fill a syringe? - Answer No, if there is
not enough drug in the first vial you must pull up the remaining medication needed in
a second syringe. Then label them one of two and two of two.
Can you give a medication that was drawn up by someone else? - Answer No
, Fresenius Exam 2023 Solved!!
What does it mean to re-circulate ? - Answer After priming the extracorporeal circuit,
you attach the arterial and venous lines together to form a loop then check the
dialysate with the phoenix meter. Once the dialysate has passed Phoenix meter test,
attach the red and blue Hansons to fill the dialysate compartment of the dialyzer. The
system stays like this with the blood pump running until you are ready to prime and
hook up the patient.
Can you invert a vial of Epogen? - Answer No,be careful not to shake the vial and do
not turn the while upside down.
What are the components of a dialysis order? - Answer Dialyzer type/size, correct
bath, sodium, bicarb, dialysate flow rate, Blood flow rate, needle size, time,
temperature, and OL CV.
What is the purpose of priming The extracorporeal circuit? - Answer Priming takes
the air and germicide out of the bloodlines and dialyzer.
What is the purpose of recirculation - Answer Recirculation keeps air and germicide
out of the bloodlines and dialyzer. During recirculation, air and germicide is sent
through circuit dialyze off any germicide or air that is left. The germicide travels from
the blood side of the dialyzer to the dilate side and then down the drain.
When inspecting the dialyzer what are you looking for? - Answer That it is the correct
dialyzer, not expired, not defective, no cracks, tears, and package is intact.
Key points to learn about priming and recirculation - Answer Air bubbles can cause
blood clotting in the dialyzer and tubing during a treatment. Prime and recirculate.
Make sure the air is removed from bloodlines and dialyzer.
How is the correct dialysate prescription entered into the dialysis machine - Answer
Temperature, time, DFR, BFR, Na, Bicarb, UF Goal, OLCv, Needle Size, and Profile.
What is theoretical conductivity - Answer TCD is the targetconductivity for the
prescribed concentrate base sodium and base bicarb. Conductivity based on a
particular prescription. TCD is calculated based on what the conductivity of a solution
or as ionic composition.
What is the safe range of conductivity based on the TCD? - Answer The conductivity
must be within plus or -.5 of the TCD.
What is the acceptable range at the Phoenix meter must be in relation to the
conductivity on the machine - Answer The phoenix meter and the machine must be
within plus or -.3 of each other.
What do you do if a blood leak occurs? - Answer Stop the treatment without
returning the patient's blood since it could be contaminated and cause infection.
When the blood leak alarms what do you do? - Answer Use the Hemastix strip to
check for blood it will change colors if positive. If blood or pink can be seen in the
