BONENT CDC QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS

How to manage Pericarditis: - controlled heparinization, increased frequency of dialysis, use of anti-inflammatory drugs A pt telephones the clinic to c/o s.o.b. this symptom is indicative of what? - fluid overload Which organization is primarily concerned with providing the unit staff with educational oppotunities? - Council of Nephrology Nurses and Technicians of the National Kidney Foundation All of these are essential to the successful completion of a research project:. - review literature in the problem area, problem definition, obtaining permission of the unit manager and study subjects When a pyrogenic reaction occurs, the water tx system should be cultured for: - gram-negative bacteria If a dialysys machine has been disinfected with formaldehyde, it is important to test the for residual formaldehyde after rinsing to minimize the risk of : - pt exposure to formaldehyde In hemodialysis, the most commonly used volume expander is 0.9% NaCI. If this solution has the same effective osmolality as body fluids it is called: - Isotonic A possible sequela of hep B is : - Pancreatitis in the event of a MAJOR fire is discovered in an area occupied by pt's the first action should be to: - remove the pt's The greatest impact on the efficiency and safety of a hemodialysis tx is : - educated and motivated staff and properly maintained equipment Homeostasis is best defined as : - the steady state of internal enviroment Decreased glomerular filtration rate of the kidney may be due to all of the following: - shock, dehydration, cardiac decompensation Hemolysis of red blood cells will occur will occur if: - Hyperthermic fluid is delivered to the dialyzer The goal of anticoagulation in dialysis is to maintain the degree of anticoagulation at: - 1.5 to 2 times the baseline clotting studies The normal kidneys compensate for fluid loss by retaining: - Sodium and water The primary reason for anemia in chronic renal failure is: - decreased erythropoietin production Performance of a creatinine clearance test requires: - a timed urine collection and a serum creatinine measurement A cause of hemolysis during dialysis: - Improper dialysate preparation Hypertension may be influenced by: - Nephrectomy, fluid overload, sodium retention Correct needle placement is important in the initiation of dialysis to minimize the risk of: - recirculation, inadequate blood flow, hematoma formation Cylers used for peritoneal dialysis are automatic exchange devices which: - regulate instillation and drainage of the dialysis solution The K in Kt/V stands for: - Kidney A pt's venous needle falls out the first thing the tech should do is: - turn off the blood pump, clamp the venous line, and put pressure on the puncture site The following are potential problems associated with use of bicarbonate dialysis: - increase in bacterial growth, dangerous electrolyte concentrations due to concentrate mix ups, precipitation of calcium and magnesium in the delivery system The role of renal dietician is best described as: - counseling pt's on the optimum diet for their needs and assisting them in following good dietary habits The half life of heparin is 40-90 mins. The elimination of heparin in dialysis pt's is similar to that of the nonuremic populations. The following is true regarding the effect of heparin in a dialysis tx: - the "rebound effect" of heparin metabolism increases the incidence of bleeding in this population Constipation is a common problem for dialysis patients. The primary reason for this is: - Medications such as phosphate binders or ferrous sulfate All of th folowing are relevant factors in ensuring accuracy of the clotted line: - Temp of the ACT tube, volume of blood in the ACT tube, prompt admixing 0f blood and clotting reagent What is a mannitol used for? - To support blood pressure by expanding volume To minimize the risk of injury to improper dialysate, oone step which must be taken by each facility using bicarbaonate is to: - use key coded/color coded systems for concentrate containers and concentrate uptake lines The tech is setting up a dialyser, the test for residual sterilant is positive after a 500 cc normal saline had been infused by recirculation, the technician should find this as: - Abnormal, rinsing and retesting should be continued per protocol With subclavian catheters, poor blood flow can be caused by all of the following: - Vascular spasms, an incorrect cannula lumen size, or incorrect placement of the cannula inside the host vessel The procedure most likely ordered after placement of a subclavian catheter is: - a chest X-ray to verify catheter placement Complications associated with arteriovenous fistula for hemodialysis access include all of the following: - Thrombosis, infection, stenosis, arterial steal syndrome The total pressure in the blood circuit is a result of all the following: - Blood flow rate controlled by the blood pump, resisteance to the flow is the blood circuit, and diameter of the fistula needle, Minimal heparinization should be considered for pt's who have a history of: - Menstrual flow, Pericarditis, Active ulcer