Fresenius Nurse Final Exam Part 1 questions and answers 100% guaranteed success.

Fresenius Nurse Final Exam Part 1 questions and answers 100% guaranteed success. The 3 reasons that dialysis is a high risk area: - correct answers.1. There is frequent exposure to blood 2. Patients & Staff are in close proximity 3. Dialysis patients are immunocompromised All dialysis surfaces must be disinfected with _____ bleach solution until surfaces is glistening _____ and then allow to - correct answers.1:100/ wet/ air dry A ______ bleach solution is used to disinfect a large spill greater than ______ - correct answers.1:10/ 10 ml The following are examples for what process: during initiation and termination of dialysis; cannulation of an access; needle adjustment; changing a transducer; setting up a dialysis machine - correct answers.Examples of procedures where exposure may occur and PPE must be worn What 3 blood borne pathogens are found in a dialysis unit? - correct b, hep c, and HIV What steps should you take in the event of an exposure incident? - correct answers.1. Wash/ rinse area immediately 2. Report incident to clinical manager or charge nurse 3. Seek medical tx within 1-2 hrs Hep B is extremely contagious and can live in the environment and remain viable on surfaces for at least ____ days - correct answers.7 How are Hep B patients dialyzed? - correct answers.In an isolation room with their own dedicated equipment such as BP cuff and stethoscope, tourniquet, etc These should be used to work on computer information in the isolation room. - correct answers.Clean Gloves True or False? Tx sheets and medical records can enter the isolation room - correct answers.False: If tx sheets are used, the tx sheets cannot enter the isolation room. Nor can medical records Staff members should not care for these two types of patients on the same shift at the same time. - correct answers.HBV and patients that are susceptible to HBV Where do hep c patients dialyze and why? - correct answers.In the clinical area, hep c is not contagious and is is not known to survive for very long outside of the body How is hep c transmitted? - correct answers.Through contaminated blood transfusions in the past or from sexual contact How is hep a transmitted? - correct minated food and the oral-fecal route Which blood test indicates infection with Hep B? - correct answers.HbsAg (HBsAg is the surface antigen of the hepatitis B virus. It indicates current hepatitis B infection.) Which blood test indicates the presence of immunity against Hep B? - correct answers.HBsAb (The HBsAb test, or hepatitis B surface antibody test, looks for antibodies that your immune system makes in response to the surface protein of the hepatitis B virus.) Which vaccines provides long-term immunity to Hep B? - correct answers.Recombivax or Engerix Is latent TB contagious? - correct answers.Latent tuberculosis is not contagious, but can become active w/o tx The following are signs and symptoms for what???Night sweats, productive, persistent cough, unexplained weight loss, chills and fever, blood-tinged sputum - correct answers.Tubercolosis How is TB spread? - correct answers.TB is spread by droplet nuclei produced from infected individuals when they cough, sneeze, sing or speak Where do TB patients dialyze? - correct answers.Not in the Clinic!!!! In accordance with FMS policy what must TB patients have before they are allowed to return to the clinic??? - correct answers.3 consecutive negative sputum cultures, ppd testing and chest x-rays According to the new FMS policy, hands should be washed with soap and water for _____ seconds and sanitized with alcohol for ___ seconds - correct answers.40-60 seconds/ 20-30 seconds What are the 3 basic PPE's? - correct answers.1. Long sleeve gown 2. face shield w/mask 3. gloves What are the anatomical structures of the urinary system in order of urine flow? - correct answers.1. (2) kidneys 2. (2) ureters 3. (1) bladder 4. (1) urethra The functions of the kidney include: removal of waste products such as _______, _______, and ________. The kidney also regulate ______, ______, and _______. - correct al of: creatinine, urea, uric acid regulate: fluid, acid base, electrolytes The kidney also has hormonal functions that include: production of renin to help regulate ________; production of erythropoietin, which stimulates bone marrow for __________; and the regulation of calcium/phosphorus balance through the activation of ________, which enables us to absorb our dietary calcium, thereby promoting continued good bone health. - correct pressure, red blood cell production, vitamin D This is the functional unit in the kidney, it filters blood to form urine. - correct answers.Nephron This is a network (tuft) of capillaries that performs the 1st step of filtering blood. - correct rulus What is the synthetic form of Erythropoietin? - correct answers.The synthetic form of erythropoietin is called Recombinant Epoetin Alfa (Epogen), a drug given by licensed nursing staff to dialysis patient, to treat anemia What is the synthetic form of Vitamin D? - correct answers.Calcitriol is the activated form. Calcijex, Zemplar, and Hectorol (all synthetic calcitriol) are medications used in treating bone disease for hemodialysis patients. What are the 3 main causes of renal failure? - correct answers.1. diabetic nephropathy (damage to kidney caused by diabetes) 2. hypertension 3. Other: polycystic kidney disease, lupus, AIDS, Drug toxicity, interstitial nephritis, etc Name 6 classic signs and symptoms of renal failure: - correct ted bun/creatinine, phosphorus, and potassium, anemia, fluid overload, lethargy, weakness, headache, edema, yellow-gray appearance of skin, high bp, itching, loss of appetite, fatigue, nausea, restlessness, mental changes, shortness of breath, proteinuria, nerve damage What is the GFR for stage 1 of kidney disease? - correct answers.90+