A surveyor asks you a question. Which of the following statements would be a good answer?
- ANSI do not know the answer but I will find out
Knowing what caused your patients' renal failure - ANSIs important to identify possible
problems during data collection and assessment
The dialysis team prevents additional blood loss by - ANSProviding appropriate heparin
dose per physician order, using good cannulation technique, and proper rinse back after
treatment
*** What amount of fluid weight is considered excessive? - ANSGreater than 5%
The definition of Health Literacy is - ANSThe degree to which individuals understand basic
health information
*** Intra-renal causes of Acute Kidney Injury (AKI) - ANSSepsis, trauma, anaphylaxis, drugs,
Acute Glomerulonephritis
Why is meticulous hand hygiene so important in healthcare? - ANSIt is the single most
important intervention in preventing Healthcare Associated Infections
*** The endocrine functions of the kidneys are - ANSRenin and erythropoietin secretion,
activation of vitamin D**
*** Which infectious disease requires frequent hand-washing instead of using alcohol based
hand gels? - ANSActive Clostridioides difficile infection (C-diff)
At what time do you perform water hardness testing? - ANSAt the end of the treatment day
What are three things you should NOT include in a Risk Event Management (REM) report? -
ANSPersonal opinions, speculation, vendettas
Fever caused by a pyrogenic reaction will most likely occur at what time during the
treatment? - ANSWithin 45 to 75 minutes
*** What is the most likely reason for a blood leak detector alarm during recirculation? -
ANSAir bubbles in dialysate or a dirty sensor
You listen to your patient's arteriovenous graft (AVG) and hear a whistling sound. - ANSThis
could be indicative of an outflow stenosis
The Urea Reduction Ratio calculates - ANSThe amount of urea removed during the dialysis
treatment
, Documentation in the medical record - ANSProvides data for continuity and planning of
patient care
*** Left Ventricular Hypertrophy leads to - ANSischemic heart disease arrhythmia,
myocardial infarction, and sudden death
What should be done to the heparin infusion line if a patient does not have maintenance
(hourly) heparin prescribed? - ANSClamp and knot the heparin infusion line
The most common infectious complication for hemodialysis patients is - ANSVascular access
infection
The person responsible for implementation, adherence, and training of the facility specific
emergency management plan (EMP) and applicable policy and procedures is - ANSFacility
Administrator (FA) or Designee
Interventions for a patient complaining of chest pain include - ANSDecrease blood flow rate
(BFR) to 150mL/hr. decrease ultrafiltration rate (UFR), take vital signs, and administer
oxygen as ordered
Which of the following may be, but doesn't have to be a sign of hemolysis - ANSCherry red
colored blood in venous line
Per the Centers for Disease Control and Prevention (CDC), which is the most important
route by which pathogens are transmitted in health-care settings including dialysis centers? -
ANSContact transmission
Your immediate intervention for a patient experiencing an anaphylactic reaction is -
ANSDiscontinue the suspected therapy, stop the blood pump, do not return the blood
*** Scrubbing of each hub as part of CVC care is done for: - ANS15 seconds
What are the three steps included in the vascular access assessment? - ANSLook. listen
feel
*** You are assisting a patient to step onto the scale by holding the patient's hand. Such a
casual contact - ANSDoes not require wearing gloves but you must perform hand hygiene
afterwards
What can be the most likely result if the surveyor sees a patient with a covered vascular
access? - ANSAn Immediate Jeopardy
*** Per the Centers for Disease Control and Prevention (CDC), which is the most common
factor contributing to bacterial infections in dialysis patients? - ANSthe use of catheters for
hemodialysis