Dialysis PCT Exam Questions Answered 100% correct

Dialysis PCT Exam Questions Answered 100% correct Hemolysis The rupturing of red blood cells - can be caused by Patient clinical harm Any physical injury or damage to the health of a person requiring additional monitoring, intervention, ad/or medical care. Harm can include bboth temporary and permanent injury. When a serious safety even occurs DPC staff notifies: the CM/PM, the BMT as applicable, and the Physician CM notifies: the DO, Quality, the Medical Director, Clinical Services, and Regulatory Affairs When a Serious Safety Event occurs You need to report it in -PSDES -Liability Form -QAI Medical device is defined as any item that is used for the diagnosis, treatment, or prevention of a disease, injury, or other condition, and is not a drug of biological Medwatch Form -do not file in a patient's record, needs to be onsite for two years (1) What solution should be used to disinfect a large blood spill area (greater than 10 mLs) 1 part bleach: 9 parts water solution (2) The dialysis technician has performed a rinse back on a patient and failed to gather all of the supplies needed to disconnect the patient. What MUST the dialysis technician do prior to getting clean supplies? Remove gloves, wash/sanitize hands, and retrieve items (3) What is the number one infection control practice for reducing the transmission of disease Hand washing (4) What PPE is required when performing venipuncture? Gloves, full face shield or mask, and protect eyewear with side shield and fluid resistant gown (5) What solution should you mix to disinfect the dialysis station? 1 part bleach: 99 parts water solution (6) One way to establish a patient has orthostatic hypotension is to obtain the patients Sitting blood pressure followed by the patients standing blood pressure (7) Which of the following letters in the acronym CLOT is incorrect when remembering how to treat a patient with a suspected air embolus? C = clamp arterial bloodline (clamp the venous blood line, it's the one pushing blood into the patient) (8) After an arterial needle infiltration, where can a new needle be placed Above or below the infiltration (9) A patient falls after dialysis and is injured, this is considered what type of event? Adverse event (10) Which of the following foods are high in phosphorus? Beans, nuts, and dark colas (11) The venous needles must always be placed With the flow of blood (12) A patient takes blood pressure medication prior to treatment. During treatment, a large amount of fluid is removed. This could result in what complication? Hypotension (13) The arterial needle is placed With or against the flow of blood (14) Chloramine or bleach in the dialysate during dialysis can cause a patient death due to Hemolysis (15) A 40 year old patient, who has severe hypertension, is to start on hemodialysis. The patient does not have diabetes or cardiac problems. What type of access is preferable? An arteriovenous fistula (16) Which of the following foods have the highest potassium content? Bananas, orange juice, and salt substitutes (17) When completing post-dialysis treatment documentation, when must staff members collect the patients blood pressure and temperature readings? Post reinfusion and prior to line disconnection (18) Pre treatment evaluation of an internal vascular access includes Palpating for a thrill (19) When removing needles from an internal access the needle safety device Should be used while removing a needle from the patients access (20) Which total chlorine reading is unacceptable 0.10 ppm (21) The water room water pathway begins with City water entering the facility (22) An appropriately functioning reverse osmosis (RO) machine produces water quality that meets AAMI standards (23) How long must the reveres osmosis (RO) run prior to collecting samples for water testing? 15 mins (24) How many total signatures from qualified staff (one being a Registered Nurse) are required when performing total chlorine testing? Two (25) Chlorine can easily cross the dialyzer membrane causing? Hemolysis (26) To properly collect a post BUN sample, it is necessary to Turn off ultrafiltration (27) Conductivity is best described as the ability of a(n) solution to conduct an electrical current (28) FKC policy states the first total chlorine test is to be done Prior to the first patient treatment of the day