Dialysis Technician CCHT Study Guide Questions With Correct Answers

Prior to treatment, a reprocessed dialyzer must be visually inspected. The reason is: - Answer A..To make sure it is labeled correctly B.To assure no structural damage has occurred ALL EXCEPT C Ultra pure dialysate - Answer Use of a diasafe filter allows the prodution of Saline - Answer Normal__________ is used to rinse and prime the tubing of the extracorporeal circuit to remove sterilant and air clotting - Answer Air is removed from the extracorporeal circuit before initiating treatment because it may cause______ when trapped in the dialyzer blood lines/ open - Answer The most likely cause of contamination of the extracorporeal circuit are _______ in the prime bucket with _____ end caps air - Answer A low-level arterial drip chamber can result in ______entering the system causing an air embolism or clotting conductivity - Answer is the ability of a substance to conduct an electrical charge blood leak - Answer When blood escapes from the dialyzer blood compartment into the dialysate fluid compartment, this is known as a _____ 6.9 and 7.6 - Answer The final dialysate must have a pH between daily - Answer How often should staff clean the dialysis machine with acid? Before each treatment - Answer When should alarm and Pressure Holding Tests ( PHT) should be performed on dialysis machines? air in the dialyzer - Answer what is removed by normal saline during the priming process? +/- 0.5ms of the Theoretical Conductivity - Answer Before the start of treatment, check that the machine's coductivity alarm parameters are set at a-- after cleaning with acid - Answer You should disinfect the dialysis machine with heat after doing what? bacteria, conductivity, cholrine/chloramens and PH - Answer You should test the dialysate for these four things before starting treatment the machine was in by pass for 30-min - Answer The wall clock indicates the patient has had 3 hrs of treatment and the machine indicates only 2 1/2 hrs treatment. What happened? 40-60 seconds - Answer When washing hands with soap and water, how long must you wash your hands? 20-30 seconds - Answer When cleaning hands with hand sanitizer, how long must you rub your hand? diabetes - Answer The number one cause of chronic renal failure is---- True - Answer When going from a dirty area to retrieve supplies in a clean area, staff are required to complete hand hygiene True - Answer Hazardous Material Identification System HMIS labels are required on all hazardous materials, including individual bicarbonate containers. 1 parts bleach and 10 parts water solution - Answer The first batch bleach solution used to clean a large blood spill area ( greater than 10mL/s) is? blood and body fluids - Answer The main route of transmission of Hepatitis B in Hemodialysis facilities is by exposure to infected? remove gloves, sanitize hands, put fresh pair of gloves on - Answer When caring for a patient who is Hepatitis B positive, after disconnecting the bloodlines, the technician MUST perform which 3 actions before documenting? seperate____dedicateed - Answer According to the CDC, patients who are Hepatitis B surface Antigen (HBsAg) positive should be dialyzed in a _________ area of the dialysis center, on ________ machine Remove gloves, wash/sanitize hands and retrieve items - Answer What MUST the dialysate technician do prior to leaving the patient at the dialysis station to get clean supplies? Blood splatter - Answer You must wear a full-face shield, or mask with googles, when in an area with a risk of______ examine / an access - Answer Prior to applying the blood pressure cuff on a new patient, the patient care technician should_______ both the patient's arms for the presence of ________ dry weight - Answer Availble weight gain is described as the pre-treatment weight minus_____ an infection - Answer A red and warm vascular access may be a sign of____ thrill - Answer Pre-treatment evaluation of an internal vascular access includes palpating for a ______ Gloves, full face shield or mask/protective eye wear w/side shield, fluid resistance gown - Answer What three items of PPE are required when performing? flipped - Answer Damage to the intimal lining of the vessel is likely to occur when the needle is_______after insertion. tourniqute---1.5 to 2.0 - Answer When cannulating a new A-V Fistula: always apply a __________stay at least___________inches from the anastomosis (NOT exceed -250 mmHg uncovered) -250 - Answer Pre-pump arterial pressure should NOT exceed________mm/Hg uncovered - Answer Make sure access is stabilized and remains__________ above/ice - Answer The patient's venous needle has infiltrated, and another needle needs to be inserted. You should insert the new needle______the infiltrate and apply____to the area. engaged while - Answer When removing needles from an internal access, the needle should be___________removing the needle from the patient's access recirculation - Answer Access_________can jeopardize the adequacy of a dialysis treatment. removed from the access - Answer You should apply the access needle safety devices as the needle is being___________ 270 - Answer An arterial pressure reading of negative _______ can cause blood to hemolyze either with or against the flow of blood - Answer In which direction of blood flow should you place the patient's arterial needle? with the flow of blood - Answer In which direction of blood flow should you place the venous needle? 180/100 - Answer Report a blood pressure reading over_________to the nurse 60-100 - Answer Report a pulse less than 60 or greater than 100 beats per minute to the nurse 30 seconds - Answer Before cannulating a patient's access, you should clean the site for a least how long? butterfly ld pshos - Answer After cannulating an access, you should place the tape directly over the________ 3-5 minutes - Answer How long should you wait to initate treatment after administering a heparin bolus? Diffusion - Answer In the body, substances move in to and out of cells through the cell memebranes by what process Intravascular compartment - Answer Fluid removed during dialysis comes from the? Benadryl - Answer All of the following are products used to reduce the pain of cannulation except for: size of molecules dialysate temperature countercurrent flow concentration gradient on each side of the membrane ALL OF THE ABOVE - Answer How quickly solutes (or particles) diffuse across the membrane is determined by: False - Answer The semi permeable membrane inside the dialyzer allows molecules of all sizes to pass through into the dialysate compartment Straight vessels - Answer Which of the following is NOT a contraindication for the placement of a fistula? Do not lift anything heavy with your access arm Do not wear tight clothing or jewelry on access arm Do not allow routine blood draws or blood pressures on your access arm ALL OF THE ABOVE - Answer Education for a patient with a new internal access would include: Arteriovenous graft - Answer Which type of access is created using a artificial material connecting an artery to a vein? False - Answer Blood and dialysate mix inside the dialyzer during the dialysis treatment I went to the emergency room on Saturday evening with nausea and vomiting, but I am over it now.. I went to my kidney doctor's office on Friday afternoon and i am feeling better now with this new BP medicine - Answer During your pre-evaluation, which of the following statements would be relevent for the nurse to know about your patient's physical condition? Choose two: I'm glad that you are feeling better. We also need to get your blood cleaned, so it's inportant to stay for the rest of your prescribed treatment time. - Answer Mr.s Robbins wants to end her treatment early today. She states that she is breathing much better, so she really doesn't need to stay on any longer. Which statement below would be appropriate? 4200 - Answer Mr. Williams has an estimated dry weight of 94.5 kg. When he comes in for treatment today he weighs 98.7 kg. What would be the ultrafiltration goal? Air detector alarm - Answer Which of the following alarms will NOT cause the dialysate to go into bypass? Blood has crossed over into the dialyzer - Answer There is a blood leak alarm during your patient's hemodialysis treatment. This indicates? TMP (total membrane pressure) is the amount of pressure needed to remove fluid from the blood across the semi permeable membrane - Answer While receiving his dialysis treatment, Mr. Harris notices the machine keeps alarming, indicating it's a TMP alarm. He asks you what TMP means. Your answer would be: An artery and a vein surgically connected to form the fistula The first choice for a hemodialysis access - Answer An AV fistula is: (choose all that apply) A plapable thrill Signs of healing in the surgical incision An audible bruit when listening with a stethoscope ALL OF THE ABOVE - Answer While assessing the maturity of a 3 week old fistulas you would expect to find: Helps you to see the fistula better Holds fistula in place, preventing rolling Decreases the chance of infiltration - Answer A tourniquet should always be used while cannulating a fistula because it: ( choose all that apply) To help prevent aneurysms - Answer Why do we rotate needle sites? Compress at the midpoint and feel for a pulse on both sides, the side with the strongest pulse is the arterial side - Answer Mrs. K has an AV graft that is ready to be cannulated today. You are unsure of the direction of blood flow, how do you determine this? True - Answer A patients access is known as a lifeline and must be treated with great care Wash your hands - Answer Prior to cannulating an AV fistula or graft the first step is to: Steal syndrome - Answer Mr. R begins his dialysis treatment but soon complains of the pain in his access arm. You notice his hand has a bluish tint and is cold to the touch. You suspect Mr. R is having which of the following conditions? HBsAG positive - Answer Which of the following requires the patient to be dialyzed in an isolation room? Bone disease - Answer Large amounts of aluminum in water used for dialysis could cause? Chemical (bleach) - Answer The most common type of water treatment disinfection is: Symptoms of pain at the cannulation site, headache, and nausea - Answer Which of the following is not associated with an air embolism? Notify the nurse - Answer While taking Mrs. L's pre-treatment vital signs, you notice her pulse rate is 52, what should you do? If data meets goal of 70% move on to a different project - Answer The CM and an RN notes a high rate of access infections at your facility. You are asked to be on the CQI team to look into this problem. You understand that CQI involves all of the following steps EXCEPT? Are exposed to large volumes of water during dialysis - Answer Water used for dialysis must be treated because dialysis patients