Hemodialysis Exam UPDATED Study
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Pre-renal causes of AKI - CORRECT ANSWER obstruction, volume depletion,
impaired cardiac function
*any situation that decreases BF to the kidneys is considered a pre-renal cause
Intra-renal causes of AKI - CORRECT ANSWER Issues due to actual injuries to the
nephrons:
Sepsis, Septic shock, Trauma,
Open heart surgery
Ischemic ATN
Glomerulonephritis
Goodpasture syndrome
Anaphylaxis drugs
Post-renal causes of AKI - CORRECT ANSWER obstruction
oliguric
bladder rupture
pregnancy
Difference between AKI and CKD - CORRECT ANSWER AKI: Eliminating the cause
of AKI may lead to the return of kidney function
CKD: Can not eliminate cause CKD which is hypertension diabetes genetic disorders
How to help restore kidney function of AKI patient - CORRECT ANSWER find the
cause
,What to consider when caring for AKI vascular access - CORRECT
ANSWER typically a catheter; careful to avoid catheter related infections
how do you protect kidneys in AKI from further injury? - CORRECT ANSWER avoid
toxic substances such as: radiographic contrast, amphotericin B, low dose apsrin, NSAIDS
What is important when monitoring weight and BP of AKI patient? - CORRECT
ANSWER keep a little extra fluid on them so its available to the kidneys when they
start filtering/ultra-filtrating on their own
AKI patients are at an increased risk for which complications? - CORRECT
ANSWER hypovolemia and hypotension
What makes dialysis patients more susceptible to HAIs? - CORRECT
ANSWER immunosuppressed and more vulnerable to infection which leads to the 2nd
most common cause death in this population
Why are dialysis patients at increased risk for acquiring a HAI at the facility? - CORRECT
ANSWER prolonged access to patients blood especially cvc patients
most common transition route for HAI'S - CORRECT ANSWER contact
most important intervention for preventing HAI - CORRECT ANSWER hand hygiene
How often are machine alarm test performed - CORRECT ANSWER before the
imitation of every treatment
how long can a dialyzer be set up for once recirculation is complete? - CORRECT
ANSWER 2 hours
why can't a set up remain longer - CORRECT ANSWER the growth of bacteria
, what is the safe dialysate pH range? - CORRECT ANSWER 6.9-7.6
what is a strikethrough of an external transducer? - CORRECT ANSWER when fluid
could have entered the machine and contaminated the internal pressure transducer protector
allowing bacteria to grow and causing patient blood infections
why is it important for teammates to know when the water treatment system disinfection was
performed? - CORRECT ANSWER because the end-end disinfection process will
introduce disinfectant solution to the dialysis delivery systems through their water inlet
what is the most common infectious complication in hemodialysis patients - CORRECT
ANSWER vascular access infection
What germ causes the most common infections in hemodialysis patients? - CORRECT
ANSWER MRSA methicillin resistant staphylococcus aureus
why is wearing gloves important - CORRECT ANSWER Reduce the risk of hand
contamination and prevents the transfer of organisms on hands
why do you need to perform hand hygiene after wearing gloves - CORRECT
ANSWER gloves have micro pores
OSHA V CMS - CORRECT ANSWER OSHA: Requires employers to provide workers
with safe work environment
CMS: concerted with patient care and patient safety
wha are v tags and why are they so important? - CORRECT ANSWER they state
specific regulations that must be met within a condition such as infection control, providing
interpretive guidance for each regulation and citing deficiencies by tag#
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Pre-renal causes of AKI - CORRECT ANSWER obstruction, volume depletion,
impaired cardiac function
*any situation that decreases BF to the kidneys is considered a pre-renal cause
Intra-renal causes of AKI - CORRECT ANSWER Issues due to actual injuries to the
nephrons:
Sepsis, Septic shock, Trauma,
Open heart surgery
Ischemic ATN
Glomerulonephritis
Goodpasture syndrome
Anaphylaxis drugs
Post-renal causes of AKI - CORRECT ANSWER obstruction
oliguric
bladder rupture
pregnancy
Difference between AKI and CKD - CORRECT ANSWER AKI: Eliminating the cause
of AKI may lead to the return of kidney function
CKD: Can not eliminate cause CKD which is hypertension diabetes genetic disorders
How to help restore kidney function of AKI patient - CORRECT ANSWER find the
cause
,What to consider when caring for AKI vascular access - CORRECT
ANSWER typically a catheter; careful to avoid catheter related infections
how do you protect kidneys in AKI from further injury? - CORRECT ANSWER avoid
toxic substances such as: radiographic contrast, amphotericin B, low dose apsrin, NSAIDS
What is important when monitoring weight and BP of AKI patient? - CORRECT
ANSWER keep a little extra fluid on them so its available to the kidneys when they
start filtering/ultra-filtrating on their own
AKI patients are at an increased risk for which complications? - CORRECT
ANSWER hypovolemia and hypotension
What makes dialysis patients more susceptible to HAIs? - CORRECT
ANSWER immunosuppressed and more vulnerable to infection which leads to the 2nd
most common cause death in this population
Why are dialysis patients at increased risk for acquiring a HAI at the facility? - CORRECT
ANSWER prolonged access to patients blood especially cvc patients
most common transition route for HAI'S - CORRECT ANSWER contact
most important intervention for preventing HAI - CORRECT ANSWER hand hygiene
How often are machine alarm test performed - CORRECT ANSWER before the
imitation of every treatment
how long can a dialyzer be set up for once recirculation is complete? - CORRECT
ANSWER 2 hours
why can't a set up remain longer - CORRECT ANSWER the growth of bacteria
, what is the safe dialysate pH range? - CORRECT ANSWER 6.9-7.6
what is a strikethrough of an external transducer? - CORRECT ANSWER when fluid
could have entered the machine and contaminated the internal pressure transducer protector
allowing bacteria to grow and causing patient blood infections
why is it important for teammates to know when the water treatment system disinfection was
performed? - CORRECT ANSWER because the end-end disinfection process will
introduce disinfectant solution to the dialysis delivery systems through their water inlet
what is the most common infectious complication in hemodialysis patients - CORRECT
ANSWER vascular access infection
What germ causes the most common infections in hemodialysis patients? - CORRECT
ANSWER MRSA methicillin resistant staphylococcus aureus
why is wearing gloves important - CORRECT ANSWER Reduce the risk of hand
contamination and prevents the transfer of organisms on hands
why do you need to perform hand hygiene after wearing gloves - CORRECT
ANSWER gloves have micro pores
OSHA V CMS - CORRECT ANSWER OSHA: Requires employers to provide workers
with safe work environment
CMS: concerted with patient care and patient safety
wha are v tags and why are they so important? - CORRECT ANSWER they state
specific regulations that must be met within a condition such as infection control, providing
interpretive guidance for each regulation and citing deficiencies by tag#
