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AAMI chemical analysis of water used for hemodialysis is tested? - correct answer ✅Annually A 58 y/o pt who is blind comes to the tx accompanied by his wife. Which of these approaches should the dialysis technician use when interacting with the pt? - correct answer ✅Describe the activities in the immediate environment A dialysis tech observes a drop of blood on the surface of a pt's hemodialysis machine. Which of these actions should the tech take? - correct answer ✅Clean the machine surface immediately A dialysis tech observes all of the below on the tx floor, which one poses an environmental risk? - correct answer ✅About once(30ml) fluid is on the floor a female dialysis technician has been caring for a male patient for several months. the patient tells the dialysis technician that he is lonely and depressed. he asked the dialysis technician to go out to dinner with him. in addition to politely declining the patient's
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invitation, which of these actions, if any, should the dialysis technician take? - correct answer ✅Refer the pt to the social worker A fistula connects? - correct answer ✅An artery to a vein A marker used to determine the middle molecule clearance of a dialyzer is? - correct answer ✅Vitamin B A mixed-bed DI Tank Contains? - correct answer ✅Cations and anions A nephron is made up of? - correct answer ✅A glomerulus and a tubule system A pt c/o pain at the venous needle site. The dialysis tech observes there is swelling distal to the venous needle site and the that the venous pressure is rising. The dialysis tech should suspect? - correct answer ✅An infiltration
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A teammate asks you to document the normal saline he just gave to Mr. Smith. You would? - correct answer ✅Never document something that someone else did A true aneurysm can be dangerous because it? - correct answer ✅May rupture and cause the patient to bleed profusely A pt's lab results indicate that the predialysis BUN(Blood Urea Nitrogen) level was lower than the post dialysis BUN level. When interpreting these findings the tech should seek the answer to which of these questions? - correct answer ✅Was the post dialysis sample drawn correctly? A rapid pulse of 104 beats/minute would indicate that the pt has? - correct answer ✅Tachycardia A pt's target wt is 154.0 lb (70 kg) and the pt's pre tx wt is 158.4 lb (72 kg). For a 4 hr tx, how many mL/hour must the pt lose to reach dry wt? - correct answer ✅ 500
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AAMI (Association for the Advancement of Medical Instrumentation) standard for conventional dialysate requires the total microbial count to be less than? - correct answer ✅100 CFU/mL Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death - correct answer ✅Potassium Acceptable interdialytic wt gains are? - correct answer ✅3-5% of TW The AAMI standard for endotoxin levels in conventional dialysate is? - correct answer ✅less than 0.5 EU/mL albumin is an important test that tells about the patient------------ status - correct answer ✅Nutritional
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During a hemodialysis tx the tech responds to a low venous pressure alarm. The most likely cause for this alarm is? - correct answer ✅Disconnection of the blood line During a hemodialysis tx, a pt says to the tech, '3 hrs of time have passed according to the clock on the wall, but the machine shows that only 2.5 hrs have passed. What could be the problem?' The tech should understand that the? - correct answer ✅Machine was in bypass for 30 minutes Biohazardous waste includes any materials exposed to? - correct answer ✅Blood Decreasing the pt's prescribed blood flow rate affects the rate of? - correct answer ✅Diffusion During a hemodialysis tx, a pt's venous needle infiltrates. Which of these actions should the dialysis tech take first? - correct answer ✅Stop the blood pump
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During hemodialysis a pt goes into cardiac arrest. The first action for the dialysis tech is? - correct answer ✅Call for assistance Dialysate pH should be? - correct answer ✅Between 6.9 and 7. During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the venous drip chamber. The immediate action of the dialysis tech should be able to? - correct answer ✅Clamp the venous line During predialysis data collection, it would be best for the tech to ask the pt which of these following questions? - correct answer ✅How have you been since your last dialysis tx? During the hemodialysis tx, a pt c/o feeling chilled. In addition to getting the pt a blanket, which of these actions should the tech take? - correct answer ✅Take the pt's temp
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Fluid to be removed divided by the tx time tells us? - correct answer ✅The ultrafiltration rate Germicide rebound occurs due to? - correct answer ✅Inadequate dialyzer priming A semipermeable membrane is a porous barrier that? - correct answer ✅Allows for only certain sized particles to cross Mrs. Smith's target wt is 62 kg. Her pre tx wt when she came in for tx on Monday was 67 kg. The priming saline amount is 240 mL, the rinseback amount is 200mL, fluid from medications is 100mL, and she is not allowed any fluids during tx. What is the total of fluid wt to be removed during her tx? - correct answer ✅5,540 mL Based on Mrs. Smith's total amount of fluid to be removed, what is the ultrafiltration rate per hour (mL/hr) for her 4hr tx? - correct answer ✅1,385 ml/hr
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Hives, itching, tightness, of the chest and respiratory distress may be signs and symptoms of? - correct answer ✅Anaphylaxis(severe allergic reaction) Hyperkalemia can lead to? - correct answer ✅Cardiac Arrest If a pt develops an infection post transplant, the largest contributing factor would most likely be? - correct answer ✅Immunosuppressive medication if the extracorporeal circuit clots and it must be discarded, it would be most important to monitor the patient's serum levels of? - correct answer ✅Hemoglobin During dialyzer reprocessing, the blood compartment is tested to? - correct answer ✅Check dialyzer for membrane leaks Infection control protocols for hemodialysis equipment should include which of these actions by the caregiver? - correct answer ✅Using gloves when touching the machine
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Mrs. pruitt's temperature is elevated post-hemodialysis treatment. which of these actions should the dialysis technician take? - correct answer ✅Notify the nurse Mrs. smith arrives for dialysis treatment complaining of shortness of breath. her pre-dialysis weight is 4.7 kilograms above the last post-treatment weight. the dialysis technician reweighed and verified the weight. which of the actions should the dialysis technician take next? - correct answer ✅Notify the nurse of the need for an assessment 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? - correct answer ✅Trendelenburg for position on left side One reason that normal saline is used to prime and perform recirculation for the extracorporeal circuit prior to tx is to remove? - correct answer ✅Air Normal body pH is? - correct answer ✅7.35-7.
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One disadvantage of a fistula is an increase in? - correct answer ✅Time to mature one cause of aneurysm and pseudo aneurysm is? - correct answer ✅Poor rotation of sites the air detector alarms during treatment. if the machine is working properly, the dialysis technician should expect which of these events to have occurred? - correct answer ✅blood pump stopped Pain at the venous needle site, along with respiratory difficulty and chest pain could be an indicator of? - correct answer ✅Sterilant Infusion Pt exposure to chloramines during the hemodialysis tx may cause? - correct answer ✅Hemolysis One sign and symptom of fluid overload is? - correct answer ✅Hypertension
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Prior to cannulation a tech notices the skin over the pt's fistula is reddened and warm to touch. These symptoms are most likely due to? - correct answer ✅An infection The medication used to treat anemia is? - correct answer ✅Epogen The most important monitor in the dialysis setting is? - correct answer ✅Staff The extracorporeal circuit consists of the? - correct answer ✅Blood lines and dialyzer The normal range of resting respirations in an adult is? - correct answer ✅12-20 breaths per minute The dextrose used in the Dialysate for peritoneal dialysis can cause?
correct answer ✅Hyperglycemia
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The leading cause of chronic kidney disease for adults in the United States? - correct answer ✅Diabetes The organization that has a goal to 'improve the care and outcomes of all individuals with kidney disease' is called? - correct answer ✅KDQI The dialysis tech's role in pt education is to? - correct answer ✅Reinforce educational information provided The most important intervention to prevent the spread of infection is? - correct answer ✅Performing hand hygiene The movement of fluid from the tissues toward a higher concentration of sodium in the blood is an example of? - correct answer ✅Osmosis The functional unit of the kidney, or the structure in the kidney - correct answer ✅Nephron
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'Dwell time' in peritoneal dialysis is defined as? - correct answer ✅the amount of time the peritoneal fluid remains in the abdomen Dialysate conductivity measures? - correct answer ✅the total electrical charge of a solution name two compartments of the dialyzer? - correct answer ✅Blood and Dialysate Which statement is true about kidney transplantation? - correct answer ✅There is a shortage of available kidney donors The usual fluid allowance for a person with kidney failure is? - correct answer ✅1.0 to 1.5 liters per day The scale says a pt weights 70 kg. This is the same as weighing how many pounds (lb)? - correct answer ✅ 154
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The organization that sets the standards for dialysis water quality is called? - correct answer ✅AAMI Total cell volume (TCV) is an indirect measure of the? - correct answer ✅Performance of the dialyzer Total Chlorine levels in the water are tested? - correct answer ✅before each patient shift or every four hour The purpose of using counter-current flow is to? - correct answer ✅Increase the rate of waste removal Water moves across a membrane from an area of lower solute concentration to an area of higher solute concentration by which principle? - correct answer ✅Osmosis The water softner - correct answer ✅Operates on the principle of ion exchange
