Dialysis -- PCT practice exam Questions Answered 100% correct

Dialysis -- PCT practice exam Questions Answered 100% correct AAMI chemical analysis of water for HD is tested how often? annually a fistula connects ___? an artery to a vein a marker used to determine the middle molecule clearance of a dialyzer is ___? vitamin B12 a mixed-bed DI tank contains ___? cations and anions a nephron is made up of ___? a glomerulus and tubule system a patient who has just received his/her first dialysis treatment is prone to ___? dialysis disequilibrium syndrome which food is highest in potassium? Bananas, ice cream, pasta, or rice? bananas bradycardia slow heart rate tachycardia fast heart rate why should a dialysis tech be certified? it's a CMS requirement a rise in TMP in a low flux dialyzer during HD is indicative of ___? clotting in the extracorporeal circuit a true aneurysm can be dangerous because it ___. May rupture and cause the patient to bleed profusely AAMI standard for conventional dialysate requires the total microbial count to be less than ___. 100 CFU/mL abnormal levels of this electrolyte can cause cardiac arrhythmias and even death potassium acceptable interdialytic weight gains are ___. 3-5% of TW the AAMI standard for endotoxin levels in conventional dialysate is ___. less than 0.50 EU/mL albumin is an important test that tells about the patients' ___ status. nutritional s/s of infected access fever/swelling in access redness and warmth tenderness and drainage asepsis the absence of disease producing organisms dialysis that is too hot will cause ___. hemolysis target weight is defined as ___. weight at which the patient has no edema/fluid in the lungs and bp is normal during HD treatment the tech responds to a low VP alarm. The most likely cause for this alarm is ___. disconnection of the blood line biohazardous waste includes any material exposed to ___. blood decreasing the patient's prescribed BFR affects ___. diffusion dialysate pH should be ___. between 6.9-7.6 during predialysis data collection, it would be best for the etch to ask the patient what question? how have you been since your last traetment? during HD treatment, a patient c/o of feeling chilled. in addition to getting the patient a blanket, what action should the etch take? take patient's temperature during the equipment set-up of a HD machine, the alarm test for conductivity fails. what actions should the teammate take next? notify the equipment tech ESRD specific tests such as BUN, Creatinine, and URR are ___. indicators of the adequacy of the renal replacement therapy excess fluid is forced out of the blood and into the dialysate during dialysis by which principle? ultrafiltration Feed conductivity product conductivity divided by x 100 is the formula calculation of ___. percent rejection 15 minutes before the end of tx, a patient c/o of dizziness and nausea. these symptoms are most likely due to ___. hypotension Fluid to be removed divided by the treatment time tells us the ultrafiltration rate Germicide rebound occurs due to Inadequate dialyzer priming a semipermeable membrane is a porous barrier that ___. allows only certain sized particles to cross hives, itching, tightness of the chest and respiratory distress may be s/s of ___. anaphlaxis (severe allergic reaction) hyperkalemia can lead to cardiac arrest if a patient develops an infection post transplant, the largest contributing factor would most likely be ___. immunosuppressant medication If the extracorporeal circuit clots, it would be most important to monitor the patient's ___. hemoglobin during the dialyzer reprocessing, the blood compartment is tested to ___. check dialyzer for TCV (total cell volume) infection control protocols for HD equipment should include what action by the caregiver? using gloves when touching the machine lidocaine is administered how? intradermally low albumin levels in the dialysis patient have been linked to ___. high hospitalization and death rates a medication that dialyzes off easily is ___. digoxin Mr. Jones demonstrates how to wash his access. This is an example of which adult learning principle? psychomotor Mr. Jones suffers from constipation. He goes to the drug store to buy a laxative. Mr. Jones should avoid which medication? Milk of Magnesia Mr. Roberts verbalizes how to hand crank his blood pump in the event of an emergency. This is an example of which adult principle? cognitive Ms. Foster complains of shortness of breath. While calling for the nurse the dialysis technician notices there is air in the extracorporeal circuit she/he should place Ms. Foster in? trendelenburg on left side one reason that normal saline is used to prime and perform recirculation for the extracorporeal circuit prior to treatment is to remove what? air normal body pH is ___. 7.35-7.45 one disadvantage of a fistula is an increase in ___. Time to mature One cause of aneurysms and pseudoaneurysms is Poor rotation of sites The air detector alarms during treatment. If the machine is working properly, the dialysis technician should expect what events to have occured blood pump has stopped pain at the venous needle site, along with respiratory difficulty and chest pain could be an indicator of sterilant infusion patient exposure to chloramines during the HD treatment may cause ___. hemolysis one s/s of fluid overload is ___. hypertension Symptoms of hyperkalemia include? numbness and tingling The accuracy of lab results depends on adherence to proper lab draw technique. You must ensure that labs are drawn at the right time, right site, and right order of draw short frequent HD treatments in patients with high BUN (blood area nitrogen) are preformed to prevent ___. dialysis disequilibrium syndrome what medication is used to treat anemia? eopgen the most important monitor in the dialysis setting is ___. the staff the extracorporeal circuit consist of ___. blood lines and the dialyzer the normal range of resting respirations 12-20 breaths/minute the dextrose used in the dialysate for peritoneal dialysis can cause ___. hyperglycemia the leading cause of chronic kidney disease for adults in the US is ___. diabetes the organization that has a goal to 'improve the care and outcomes of all individuals with kidney disease' is called ___. KDOQI the dialysis technician's role in patient education is to ___. reinforce educational information already provided the most important intervention to prevent the spread of infection is ___. performing hand hygeine the movement of fluid from the tissues toward a higher concentration of sodium in the blood is an example of ___. osmosis