Clinical Annual Competency Exam – Fresenius correct answers 100%

Clinical Annual Competency Exam – Fresenius correct answers 100% Inadequate Heparinization - correct answer The adequacy of a dialysis treatment may be compromised by Post reinfusion and prior to disconnection - correct answer Routine post dialysis treatment documentation on the patients dialysis treatment record should include patients blood pressure and temperature both Chemical content - correct answer Individual acid containers should be labeled with Notify the RN - correct answer The patient complains of pain at the catheter exit site. What would the PCT do first? Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured on the venous line) - correct answer Which of these findings noted on a safety check would indicate that an intervention is needed. Notify the RN - correct answer The patient presents to the dialysis center with a pulse rate of 44/bpm but doesn't appear to be in distress. What should be the dialysis technicians immediate action? Assessment for possible clotting in the dialyzer - correct answer Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist the staff member in Circulation of water during the day only - correct answer Which of the following would minimize bacterial growth in the water treatment system? Pressure - correct answer A major factor affecting ultrafiltration is Palpating for a thrill - correct answer Pre-treatment evaluation of an internal vascular access includes Hypotension - correct answer A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms are most likely to indicate that the patient has Check the dialysate effluent with a blood leak test indicator - correct answer If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do next? Surface area of the dialyzer - correct answer Which has the most impact on dialyzer clearance? Turn the blood pump off, clamp the venous line. - correct answer The patient exhibits signs of hemolysis. What is the appropriate action to take? Calcium and magnesium - correct answer Softener tanks remove Technical must perform a functional test on the machine. - correct answer During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine before the machine is used by another patient? Low clearance, hold heparin dose - correct answer The following KECN's are noted: the results indicate a Time KECN. TIME KECN 00:15. 268. 01:45. 243 00:45. 254. 02:15. 240 01:15. 242. 02:45. 238 Either with or against the flow of blood - correct answer The arterial needle is placed Priming the dialyzer venous end up - correct answer An important factor in achieving adequacy during machine set up is Ultra Care - correct answer The FMC program that utilizes technology to improve our patient care is Bicarbonate - correct answer The component of the dialysate that helps treat acidosis is Check the patient blood pressure - correct answer The PCT notices the patient yawning toward the end of treatment. The PCT should take which action immediately Presence of endotoxins in the dialysate - correct answer Several patients with normal pre-dialysis temperatures develop sudden chills and a spike in temperature. This situation is most likely caused by 150 ml/min - correct answer What is the correct blood flow rate for priming the dialyzer Use of a tourniquet is optional when cannulating a new AVF - correct answer What is NOT true when cannulating a new AVF? Weekly - correct answer If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs