Dialysis Technician Questions Answered 100% correct

Dialysis Technician Questions Answered 100% correct Use of a dialysate filter allows the production of ____ Ultrapure dialysate __________ is the ability of a substance to conduct an electrical charge. Conductivity Normal _______ is used to rinse and prime the tubing of the extracorporeal circuit to remove sterilant and air. Saline Air is removed from the extracorporeal circuit before initiating treatment because it may cause ______ when trapped in the dialyzer. Clotting The most likely cause of contamination of the extracorporeal circuit are _______ in the prime bucket with _______ end caps. Bloodlines, Open A low-level arterial drip chamber can result in ______ entering the system and causing an air embolism or clotting. Air When blood escapes from the dialyzer blood compartment into the dialysate fluid compartment, this is known as a __________. Blood leak Urine flows through the _______ from the kidneys, to the ________ to the _______, to the __________ Urinary tract, Uterers, bladder, Urethra The TMP measures the ________ difference across the dialyzer membrane. Pressure ________ is the term used to describe the movement of fluid through a semipermeable membrane from an area of low solute concentration to an area of high concentration Osmosis _______ can be defined as the movement of particles through a semipermeable membrane from a greater to a lesser concentration. Diffusion A major factor affecting ultrafiltration is _______ Pressure A rise in __________ during hemodialysis is likely to indicate clotted fibers. Transmembrane pressure Water in the dialysate May also be referred to as ________ water. Reverse Osmosis A ________ is considered the access of choice because they have the lowest complication rate. AV Fistula A patient with severe hypertension is to start hemodialysis. The patient does not have diabetes or cardiac problems. What type of access is preferable? Av Fistula Counter current flow of blood and dialysate increases the rate of ________. Diffusion The dialysis technician has performed a rinseback on a patient and failed to gather all the supplies needed to disconnect the patient. What 2 things MUST the dialysis technician do prior to getting clean supplies? Remove gloves and perform hand hygiene. What PPE should you wear when documenting in the isolation room? Full PPE According to the CDC, patients who are hepatitis B surface Antigen (HBsAg) positive should be dialyzed in a ________ area of the dialysis center, on a __________ machine. Separate, dedicated When caring for a patient who is Hepatitis B positive, after disconnecting the bloodlines, the technician MUST perform which three actions before documenting? Remove gloves, hand hygiene, fresh gloves The main route of transmission of hepatitis B in hemodialysis facilities is by exposure to infected ________ and __________. Blood, Bodily fluids What solution should be used to disinfect a large blood spill(greater than 10mls)? 1:10 bleach solution The number one cause of chronic renal failure is _______ Diabetes When going from a dirty are to retrieve supplies in a clean area, staff are required to complete hand hygiene. True or false? True Hazardous material identification system HMIS labels are required on all hazardous materials, including bicarbonate containers. True or false? True Dialysate used for in center hemodialysis is _______ biocompatible and clean but not sterile Who ultimately determines the dialysate bath used for a patients treatment? Physician ONLY Individual acid containers must be _________ with chemical content. Labeled Three solutes that may be present in a prescribed dialysate solution. Sodium bicarbonate, potassium, and calcium Besides potassium, an electrolyte that is commonly adjusted in the hemodialysis acid bath is _________. Calcium The three ingredients in a dialysate solution/bath are: Acid, bicarbonate, treated water A major complication that can occur when the patient is dialyzed on hypotonic dialysate is _______. Hemolysis The _________ area of the dialysate has the most impact on dialyzer clearance. Surface Which of the following would adversely affect clearance? A.) blood flow rate B.) air in diaylzer B.) Air in dialyzer The online clearance goal for Hemodialysis is a spKt/v of _____________ 1.4 Dialysis is affected by these 4 things: Diaylsate _______, Dialysis __________, Dialyzer _________, and Blood _______ rate Flow, Treatment time, Size, Flow Prior to applying the blood pressure cuff on a new patient, the PCT should ________ both the patients arms for the presence of _________. Check, Acceses Available weight gain is described as the pre-treatment weight minus _______. Estimated Dry Weight