CCHT Study Guide 100% SOLUTION

CCHT Study Guide 100% SOLUTION You are the PCT taking care of Mr. Smith. He tells you that he has no ride today to go home after treatment. You - ANSWER Refer him to the Social Worker While taking the pulse you find that the patient has arrhythmia. You know that one of the causes of arrhythmia is - ANSWER Elevated potassium level The patient is complaining that he is cold. He requests to be totally covered. You explain to the patient that the access has to remain undercover because: - ANSWER The fistula needle could be dislodged and you will be able to intervene right away. Mr. Wonder is new to dialysis, his schedule is M-W-F at 6 am. He used to run every morning and he is upset that he has to give his running to accommodate the dialysis schedule. You - ANSWER Tell the patient that you will make every effort possible to adjust his schedule so he can continue to run every morning. The functional unit of a kidney is - ANSWER Nephron A healthy kidney excretes - ANSWER Phosphorus Renagel is a medication that is a - ANSWER Phosphate binder Which one is the highest in Potassium - ANSWER 2 cups of raisins What are some of the foods that are high in phosphorus - ANSWER Milk and Cheese Water softener removes: - ANSWER Magnesium and Calcium Chlorine and Chloramines are removed by: - ANSWER Carbon Tanks Endotoxins are removed by: - ANSWER Ultrafilter Anastomosis is the surgical connection between the: - ANSWER Artery and vein A A M I Standards for cultured water is: - ANSWER 200 cfu A A M I Standards for dialysis is: - ANSWER 50 cfu Hemodialysis is accomplished by which principles? - ANSWER Ultra filtration, diffusion, counter-current dialysis flow While assessing an access before cannulation you note an aneurysm. You should: - ANSWER Avoid cannulating the area and notify the nurse or physician. Your patient complains of mild to moderate pain in access limb. The limb is note to be colder distally and paler than the other limb. The patient states that the pain increases in intensity while he is on dialysis. The patient could be experiencing: - ANSWER Steal syndrome Patient has a bilateral amputation. How do you determine that the patient is fluid overloaded? - ANSWER Listen to the lungs If it is not documented: - ANSWER It is not done What is a high risk of safety and a hazard: - ANSWER A small amount of water on the floor Your patient came in for dialysis accompanied by his daughter. He is hard of hearing. You have to assess his complaints. You: - ANSWER Speak clearly in front of him. Your patient comes to dialysis accompanied by his wife. She tells you that since he started dialysis, he is not the same, and has been very depressed. You: - ANSWER Refer him to the administrator and social worker Dialysis pH average is: - ANSWER 6.8-7.4 The reuse tech spilled germicide on the floor. The first place you would look to see how to deal with the chemical spill is: - ANSWER M S D S Book Your patient is complaining of feeling dizzy while on dialysis. You suspect that he has an episode of hypotension. The first thing you would do is place the patient: - ANSWER Shoulders and head lower that the legs Machine blood leak is alarming. The hemastix text came out negative. What do you do next? - ANSWER Continue dialysis and monitor system Dialysis patients are diagnosed with anemia. Epogen is given to the patients to: - ANSWER Increase red blood cell production Kt/V is a measurement used to determine: - ANSWER Adequacy of dialysis The use of saline to prove the lines and dialyzer is necessary because: - ANSWER Sterilant has to be removed from the dialyzer Air in the lines during the treatment are usually due to: - ANSWER Loose connections on the dialysis lines Which organization sets the standards and recommendations for water reprocessing? - ANSWER A A M I Which organization sets the standards for water in the dialysis setting? - ANSWER C M S The leading cause of ch