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CCHT practice exam 238 Questions with Verified Answers,100% CORRECT

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CCHT practice exam 238 Questions with Verified Answers Annually - CORRECT ANSWER AAMI Chemical Analysis of water used for Hemodialysis is tested Clean the machine surface immediately - CORRECT A... NSWER A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis machine. Which of these actions should the dialysis technician take? About one ounce (30 ml) fluid is on the floor - CORRECT ANSWER A dialysis technician observes all of the below on the treatment floor, which one poses an environment risk? An artery to a vein - CORRECT ANSWER A fistula connects Vitamin B12 - CORRECT ANSWER A marker used to determine the middle molecule clearance of a dialyzer is Cations and anions - CORRECT ANSWER A mixed- bed DI tank contains A glomerulus and a tubule system - CORRECT ANSWER A nephron is made up of An infiltration - CORRECT ANSWER A patient complains of pain at the venous needle site. The dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. The dialysis technician should suspect Dialysis Disequilibrium Syndrome - CORRECT ANSWER A patient who is to receive their first dialysis treatment is prone to? bananas - CORRECT ANSWER A patient tells the technician that the dietician reviewed high potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium? It's a new Federal regulation - CORRECT ANSWER A reason why a dialysis technician is to be certified is Clotting of extracorporeal circuit - CORRECT ANSWER A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of Never document something that someone else did - CORRECT ANSWER A teammate asks you to document the normal saline he just gave to Mr. Smith. You would: May rupture and cause the patient to bleed profusely - CORRECT ANSWER A true aneurysm can be dangerous because it Was the predialysis sample drawn from the venous port? - CORRECT ANSWER A patient's laboratory results indicate that the predialysis BUN level was lower than the post dialysis BUN level. When interpreting these findings the technician should seek the answer to which of these questions? Tachycardia - CORRECT ANSWER A rapid pulse of 104 beats/minute would indicate that the patient has: 500 - CORRECT ANSWER A patient's dry weight is 154.0 (70kg) and the patient's pre treatment weight is 158.4. (72kg). For a four- hour treatment, how many mL/ hour must the patient lose to reach dry weight? 200 CFU/mL - CORRECT ANSWER AAMI standards for the total microbial count of dialysate shall not exceed: 3-5% of EDW - CORRECT ANSWER Acceptable interdialytic weight gains are Less than two (2) EU/mL - CORRECT ANSWER According to AAMI the standard level for endotoxins levels is 4/15/2010 - CORRECT ANSWER According to the new Conditions for Coverage, all dialysis technicians are to be certified by a national certifying agency or state specific certification by: Nutritional - CORRECT ANSWER Albumin is an important test that tells about the patient's Vitamin B12 - CORRECT ANSWER All of the following are phosphate binders except: numbness and tingling - CORRECT ANSWER All of the following may be signs and symptoms of an infected access except: The absence of disease producing organisms - CORRECT ANSWER Asepsis is defined as 1,385 mL/hr - CORRECT ANSWER Based on Mrs Smith's total amount of fluid to be removed, what is the ultrafiltration rate per hour (mL/hr) for her 4 hour treatment? Discard the needle - CORRECT ANSWER Before a hemodialysis treatment, the technician removes the cap from the fistula needle and accidentally touches the chair with the tip of the needle. Which of these actions should the technician take first? Hemolysis - CORRECT ANSWER Dialysate that is too hot will cause Weight at which the patient has no edema or fluid in the lungs and BP is normal - CORRECT ANSWER Dry weight is defined as the Disconnection of the bloodline - CORRECT ANSWER During a hemodialysis treatment the technician responds to a low venous pressure alarm. The most likely cause for this alarm is: Blood - CORRECT ANSWER Biohazardous waste includes any material exposed to: Diffusion - CORRECT ANSWER Decreasing the patient's prescribed blood flow rate affects the rate of Stop the pump - CORRECT ANSWER During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions should the dialysis technician take first? Between 7.0 and 7.4 - CORRECT ANSWER Dialysate pH should be: Clamp the venous line - CORRECT ANSWER During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the venous drop chamber. The immediate action of the dialysis technician should be to: How have you been since your last dialysis treatment? - CORRECT ANSWER During predialysis data collection, it would be best for the technician to ask the patient which of these questions? Take the patient's temperature - CORRECT ANSWER During the hemodialysis treatment, a patient complains of feeling chilled. In addition to getting the patient a blanket, which of these actions should the technician take? Notify the equipment technician - CORRECT ANSWER During the set up of a hemodialysis machine, the alarm test for conductivity fails. Which of these actions should the dialysis technician take? Indicators of the adequacy of the renal replacement therapy - CORRECT ANSWER ESRD specific tests such as BUN, Creatinine, and URR are Ultrafiltration - CORRECT ANSWER Excess fluid is forced out of the blood and into the dialysate during dialysis by which principle Percent rejection - CORRECT ANSWER Feed conductivity- product conductivity divided by x 100 is the formula calculation of The ultrafiltration rate - CORRECT ANSWER Fluid to be removed divided by the treatment time tells us Inadequate dialyzer priming - CORRECT ANSWER Germicide rebound occurs due to: Anaphylaxis (severe allergic reaction) - CORRECT ANSWER Hives, itching, tightness of the chest and respiratory distress may be signs and symptoms of: Cardiac arrest - CORRECT ANSWER Hyperkalemia can lead to Hemoglobin - CORRECT ANSWER If the extracorporeal circuit clots and it must be discarded, it would be most important to monitor the patient's serum level of: Check dialyzer for total cell volume - CORRECT ANSWER In reuse, the blood path integrity is tested to Subcutaneous - CORRECT ANSWER Lidocaine is administered Higher hospitalization and death rates - CORRECT ANSWER Low albumin levels in the dialysis patient have been linked with: Digoxin - CORRECT ANSWER Medications that dialyze easily are all except Psychomotor - CORRECT ANSWER Mr. Jones demonstrates how to wash his aces. This is an example of which adult learning principle? Milk of Magnesia - CORRECT ANSWER Mr. Jones suffers from constipation. He goes to the drug store to buy a laxative. Mr Jones should avoid which medication? Cognitive - CORRECT ANSWER Mr. Roberts verbalized how to hand crank his blood pump in the event of an emergency. This is an example of which adult principle? Notify the nurse of the need for an assessment - CORRECT ANSWER 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? 5,540 mL - CORRECT ANSWER Mrs Smith dry weight is 62 kg. Her pretreatment weight when she came in for treatment on Monday was 67 kg. The priming saline amount is 240 mL, the rinseback amount is 200mL, fluid from medication is 100 mL, and she is not allowed any fluids during treatment. What is the total amount of fluid weight to be removed during her treatment? Trendelenburg position on left side - CORRECT ANSWER 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: Air - CORRECT ANSWER One reason that normal saline is used to rinse and prime the extracorporeal circuit prior to treatment is to remove: 7.0-7.25 - CORRECT ANSWER Normal body pH is Time to mature - CORRECT ANSWER One disadvantage of a fistula is an increase in Poor rotation of sites - CORRECT ANSWER One cause of aneurysms and pseudoaneurysms is Blood pump has stopped - CORRECT ANSWER The air detector alarms during treatment. If the machine is working properly, the dialysis technician should expect which of these events to have occurred? Sterilant infusion - CORRECT ANSWER Pain at the venous needle site, along with respiratory difficulty and chest pain could be an indicator of: Hypertension - CORRECT ANSWER One sign and symptom of fluid overload is Hypo-osmole - CORRECT ANSWER Solutions that have a higher similarity than body fluids are called? Numbness and tingling - CORRECT ANSWER Symptoms of hyperkalemia (high potassium) may include Before treatment, after treatment, and after giving heparin - CORRECT ANSWER The accuracy of lab results depends on adherence to proper lab draw technique. You must ensure that labs are drawn: Dialysis Disequilibrium Syndrome - CORRECT ANSWER Short frequent hemodialysis treatments in patient's with high BUN (blood Urea Nitrogen) are performed to prevent: An infection - CORRECT ANSWER Prior cannulation a technician notices the skin over the patient's fistula is reddened and warm to touch. These symptoms are most likely due to: Epogen - CORRECT ANSWER A medication used to treat anemia is Teammate - CORRECT ANSWER The most important monitor in the dialysis setting is: Infection - CORRECT ANSWER The most frequent cause of death in the first year post transplant is: 12-20 breaths per min - CORRECT ANSWER The normal range of resting respirations in an adult is Diabetes - CORRECT ANSWER The leading cause of chronic kidney disease for adults in the United States: 24 hours - CORRECT ANSWER The minimum dwell time to achieve sterilization with the chemical Renalin is Cleansing of the hands - CORRECT ANSWER The most important intervention to prevent the spread of infection is Osmosis - CORRECT ANSWER The movement of fluid from the tissue towards a higher concentration of sodium in the blood is an example of Nephron - CORRECT ANSWER The functional unit of the kidney, or the structure in the kidney that does the work, is the Listening with a stethoscope - CORRECT ANSWER The bruit in a Av fistula or graft is detected by Temperature and transmembrane pressure - CORRECT ANSWER The hemodialysis machine continuously monitors many parameters. Which of these parameters must be verified by an external measuring device? 65% - CORRECT ANSWER The National standard, based on the KDOQI (kidney Disease Outcomes Quality Initiative) guidelines, for the Urea Reduction Rate (URR) is a ratio greater than: Peritonitis - CORRECT ANSWER The most common complication in Peritoneal dialysis is: Patient - CORRECT ANSWER The most important member of the patient care team is the Zemplar - CORRECT ANSWER The medication used to improve calcium absorption is: 6 months - CORRECT ANSWER The minimum amount of experience required to take the NNCC certifying exam is: 1.0 to 1.5 liters per day - CORRECT ANSWER The usual fluid allowance for a person with kidney failure is AAMI - CORRECT ANSWER The organization that sets the standards for dialysis water quality is called Performance of the dialyzer - CORRECT ANSWER Total cell volume (TCV) is an indirect measure of the: Before each patient shift or every four hours - CORRECT ANSWER Total chlorine levels in the water are tested Increase the rate of waste removal - CORRECT ANSWER The purpose of using counter-current flow is to Osmosis - CORRECT ANSWER Water moves across a membrane from an area of lower solute concentration to an area of higher solute concentration by which principle Operates on the principle of ion exchange - CORRECT ANSWER The water softener 80% - CORRECT ANSWER The TCV should be no less than Edema and shortness of breath - CORRECT ANSWER What are the typical signs of fluid overload A thrill - CORRECT ANSWER To determine the latency of an arteriovenous vascular access, the dialysis technician should initially feel for the presence of Transmembrane pressure - CORRECT ANSWER Ultrafiltration is influenced by Diffusion - CORRECT ANSWER Waste products are removed during dialysis by which principle Calcium and magnesium - CORRECT ANSWER The water softener removes Residual Sterilant - CORRECT ANSWER The reprocessed dialyzer is carefully rinsed prior to patient use to remove Endotoxin - CORRECT ANSWER The part of the cell wall of bacteria that, when released, can cause fever in hemodialysis patient's is: Should point in the direction of the blood flow - CORRECT ANSWER The venous needle in an AV fistula Transmembrane pressure - CORRECT ANSWER The total pressure that exists across the dialyzer membrane is called Aluminum - CORRECT ANSWER The substance that may be added to the municipal drinking water to make it clearer is: Kt/V - CORRECT ANSWER Which of the following is the most accurate measure of dialysis adequacy? Bicarbonate - CORRECT ANSWER Which of the following component in dialysate is used to correct metabolic acidosis? Kinking of the venous blood line - CORRECT ANSWER Which of the following is most likely to cause a high venous pressure alarm? Hemoglobin/Hematocrit - CORRECT ANSWER What lab tests are used to monitor anemia in the ESRD patient? Cognitive - CORRECT ANSWER Which learning domain is knowledge based? Cranberry juice colored blood in the venous line - CORRECT ANSWER Which of the following is the classic sign of hemolysis? Ice Cream - CORRECT ANSWER Which food below is highest in phosphorus? O.9% normal saline - CORRECT ANSWER When fluid replacement is necessary during the hemodialysis treatment, which of the following solutions is used? Elevated hematocrit - CORRECT ANSWER Which of the following is not a symptom of uremia? Removing too much fluid - CORRECT ANSWER Which of the following is a cause of hypotension during and after dialysis treatments? Dialysis quality water - CORRECT ANSWER Which of the following is considered to be safe water for dialysis? 18 gauge - CORRECT ANSWER Which of the following is the largest needle? Using a bath that will provide a greater concentration gradient - CORRECT ANSWER Which of the following actions would increase diffusion during dialysis? Urea - CORRECT ANSWER Which of the following diffuses from the patient's blood during dialysis? Handwashing - CORRECT ANSWER What is the most important activity that the dialysis technician can perform to prevent the spread of infectious disease in the dialysis clinic? 2.0 inches apart - CORRECT ANSWER When cannulating. The tips of the needles should be at least Hypotension and cramping - CORRECT ANSWER Which of the following symptoms would indicate a need to increase the estimated dry weight (EDW)? 2.0 - CORRECT ANSWER Your patient is to receive 2000 units of heparin. The vial you are using is 1000 u/ml heparin. How many mls will you draw up for this patient? An arteriovenous fistula - CORRECT ANSWER Which of these types of vascular accesses has the fewest complications? Tighten all connections - CORRECT ANSWER Which of the following is used to prevent air in the bloodlines? AAMI - CORRECT ANSWER Which organization set the standards and recommendations for dialyzer reprocessing? Venous needle is against the wall of the vessel - CORRECT ANSWER Which of the following would cause a high venous pressure alarm? Clotting in the extracorporeal circuit - CORRECT ANSWER Which of the following might indicate a need to increase heparin? The patient just had surgery yesterday - CORRECT ANSWER Which of the following might indicate a need to decrease the heparin dose? Ensuring accurate documentation - CORRECT ANSWER Which of these technician activities contributes to data collection used to measure quality outcomes? Draw one line through it, date, time, signature/credentials, with the words "error" - CORRECT ANSWER You have documented incorrectly on a patient's chart. How do you correct this? Phosphorus, potassium, and calcium - CORRECT ANSWER What's the normal lab value? The movement of particles across a semipermeable membrane from an area of higher solute concentration to an area of lower solute concentration, until the concentration on both sides of the membrane is equal - CORRECT ANSWER What is diffusion? The process of passing fluid through a filter or semipermeable membrane - CORRECT ANSWER What is filtration? A medication(synthetic erythropoietin) used to stimulate production of red blood cells - CORRECT ANSWER What is epogen? 2 hours - CORRECT ANSWER How long can a used dialyzer sit out before reprocessing? 11 hours - CORRECT ANSWER How long can a reprocessed dialyzer sit out to dry before use? 14 days - CORRECT ANSWER What is a reused dialyzer shelf life? 80% - CORRECT ANSWER What is a reuse dialyzer (TCV) percentage Association for the Advancement of Medical Instrumentation - CORRECT ANSWER What does AAMI stand for? Bicarbonate - CORRECT ANSWER The base used to maintain an acceptable dialysate pH(acid/base balance). A buffer Blood urea nitrogen, the end product of protein metabolism - CORRECT ANSWER What is BUN? A ballooning of the AV fistula, sometimes caused by improper rotation of needle sites - CORRECT ANSWER What is a aneurysm? dysrhythmia - CORRECT ANSWER An irregular heart beat Dyspnea - CORRECT ANSWER Difficulty breathing Edema - CORRECT ANSWER Abnormal accumulation of fluid in the body tissues causing swelling. Fluid accumulated in the interstitial space A medication (synthetic erythropoietin) used to stimulate production of red blood cells - CORRECT ANSWER What is Epogen given for? The circuit "outside body" that carries blood from the patient through dialyzer and back to the patient. The dialyzer and blood lines make up the circuit - CORRECT ANSWER What is extracorporeal circuit? The process of passing fluid through a filter or semipermeable membrane. - CORRECT ANSWER What is filtration? A tuft of capillaries in the nephron that act as filters to remove waste products, fluid and excess electrolytes from the blood as it passes through the kidney. - CORRECT ANSWER What is glomerulus? Hematocrit (HCT) - CORRECT ANSWER The measurement of the percentage of red blood cells in a sample of whole blood. This measure is affected by vascular volume. Hematoma - CORRECT ANSWER A localized mass of clotted or partially clotted blood confined within an organ or tissue, which may be discolored (bruised). Hemoglobin (HB) - CORRECT ANSWER A protein that carries oxygen from the lung to the body tissue and transports carbon dioxide from the tissues to the lungs. Hemolysis - CORRECT ANSWER What is the rupture of red blood cells? ( lysis is cell rupture) Hemostasis - CORRECT ANSWER The cessation of bleeding due to clotting. In dialysis, hemostasis refers to the cessation of bleeding from a needle site. hyperkalemia - CORRECT ANSWER An excess of potassium in the blood caused by dietary indiscretion, certain medications, internal bleeding, cellular injury or blood transfusion. Muscle weakness, nausea, and vomiting - CORRECT ANSWER What are symptoms of hyperkalemia? Hypertension - CORRECT ANSWER High blood pressure is signs of? Movement of blood from a needle site into the surrounding tissue that occurs when the needle pierces the vessel wall. - CORRECT ANSWER What is infiltration? Swelling around the insertion site and pain - CORRECT ANSWER Symptoms of infiltration? A mathematical measurement of the adequacy or dialysis treatment, which considers protein intake and the amount of urea removed from the patient. - CORRECT ANSWER What is kt/v? Nephron - CORRECT ANSWER The functional unit of the kidney Osmosis - CORRECT ANSWER The movement of fluid across a semipermeable membrane from an area of lower solute concentration to an area of higher solute concentration. Movement occurs until equilibrium is reached: pH - CORRECT ANSWER The measure of the acid-base status of a solution. PH stands for potential of hydrogen An electrolyte necessary for bone formation, energy transfer, andneuromuscular function - CORRECT ANSWER What is phosphorus? Very thin flexible sheets of material, such as cellophane, with pores that allow smaller particles or molecules to pass through while blocking larger ones. - CORRECT ANSWER What is semipermeable membrane? A condition caused when the surgical diversion of the arterial blood supply through the vascular access deprives the distal portion of the access extremity of oxygenated blood. - CORRECT ANSWER What is steal syndrome? A narrowing of blood vessels due to the build up of hypertrophic tissue, anatomical narrowing if the vessels, or surgical technique problems. - CORRECT ANSWER What is stenosis? Rapid heart beat - CORRECT ANSWER What is Tachycardia? Controlled fluid removal achieved by increasing or decreasing the amount of fluid moves across a semipermeable membrane by controlling hydrostatic pressure - CORRECT ANSWER What is ultrafiltration? A waste product of protein metabolism affected by dietary intake. - CORRECT ANSWER What is urea? A vitamin that helps the body produce normal size cells with strong cell walls. - CORRECT ANSWER What is vitamin B-12? A vitamin that, in its active form helps maintain the balance of blood calcium and phosphorus with calcium and phosphorus stored in the bones. - CORRECT ANSWER What is vitamin D? A slow heart rate - CORRECT ANSWER What is bradycardia? Hypertension - CORRECT ANSWER One sign and symptom of fluid overload? Osmosis - CORRECT ANSWER Water moves across a membrane from an area of lower solute concentration to an area of higher solute concentration by which principle? Diffusion - CORRECT ANSWER Waste products are removed during dialysis by which principle? Ultrafiltration - CORRECT ANSWER Excess fluid is forced out of the blood and into the dialysate during dialysis by which principle? Osmosis - CORRECT ANSWER The movement of fluid from the tissue towards higher concentration of sodium in the blood is an example of Diffusion - CORRECT ANSWER Decreasing the patient's prescribed blood flow rate affects the rate of? Transmembrane pressure - CORRECT ANSWER Ultrafiltration is influenced by 11 hours - CORRECT ANSWER The minimum dwell time to achieve sterilization with the chemical renalin is? Residual Sterilant - CORRECT ANSWER The reprocessed dialyzer is carefully rinsed prior to patient use to remove: Box port behind the machine - CORRECT ANSWER The patient's machine alarms blood leak, where would you draw the sample from to determine if there is a blood leak? Pyrogen Reaction - CORRECT ANSWER What causes symptoms of fever and chills? arteriovenous (AV) fistula - CORRECT ANSWER Which of the following types of vascular access has the lowest incidence of infection? Hypotention - CORRECT ANSWER During Mrs. King's hemodialysis treatment, she starts actively yawning. The technician suspects she may be experiencing Salt level in brine tank - CORRECT ANSWER While performing the end-of-day water hardness check, the technician notes that the hardness exceeds the allowable limit. In addition to notifying the equipment technician, the technician should check which component of the water system? A life-threatening condition - CORRECT ANSWER Chloramine levels in treated water that are in excess of the standards of the Association for the Advancement of Medical Instrumentation (AAMI) could result in Salt - CORRECT ANSWER A patient is experiencing large weight gains between hemodialysis treatments. The technician should remind the patient that the best dietary measure to control weight gain is to decrease the intake of Notify the equipment technician - CORRECT ANSWER When doing a routine patient check, the technician notices a puddle of clear liquid underneath a dialysis machine. After wiping it up, which of these actions, if any, should the technician take? Rope and ladder technique - CORRECT ANSWER A patient has an arteriovenous (AV) fistula in his lower left arm. When choosing a cannulation site, the technician observes where previous needles were placed and chooses to use alternate sites for arterial and venous needle insertion. This practice is an example of Hypertonic - CORRECT ANSWER A solution with higher osmolarity than body fluid? Call the bio-med - CORRECT ANSWER If during a set up, a machine test fails what would be the next step after re-testing? Operates in the principle of ion exchange - CORRECT ANSWER What does the water softener do? Dialysis Equilibrium Syndrome - CORRECT ANSWER Shortened frequent treatments in patient's with high BUN prevent? 1:100 - CORRECT ANSWER What is the ratio for bleach wipes? 1:10 - CORRECT ANSWER What is the ratio for bleach clamps? 1:10 - CORRECT ANSWER What ratio do you use for blood spills? 1:10 - CORRECT ANSWER What is the ratio for bleach water? Numbness and tingling - CORRECT ANSWER Symptoms of hyperkalemia? Endotoxins - CORRECT ANSWER What part of the cell wall when released can cause fever in hemodialysis patients? Hemoglobin - CORRECT ANSWER If the extracorporeal circuit clots we must monitor the patient's serum level of? Using a bath with a greater concentration - CORRECT ANSWER Which action increases diffusion during dialysis? Residual Sterilant - CORRECT ANSWER Dialyzers are carefully rinsed prior to use to remove: Hecterol - CORRECT ANSWER Vitamin given to patients by the nurse? Blood electrolyte levels - CORRECT ANSWER Changing the composition of the dialysis solution can influence the patient's Remove the line from the venous line clamp - CORRECT ANSWER Blood flow is manually maintained during power outage. The technician must take which of the following actions? Countercurrent flow - CORRECT ANSWER The technician observes that a patient's dialysate lines were incorrectly placed on the dialyzer. The technician corrects the line placement. The principle underlying the technicians' actions is that the clearance is maximized by Treatment time - CORRECT ANSWER Mrs. Miller's calculated kt/V urea is 0.9 one of the factors that affects her kt/V urea is her? As far apart as possible - CORRECT ANSWER In order to maximize access recirculation. The technician should place Mrs. Miller's fistula needle: Clot formation - CORRECT ANSWER Heparin is given during Mrs. Miller's dialysis treatment to lower risk for We need to ensure early detection of needle dislodgement - CORRECT ANSWER Mrs. Miller asks the technician"why can't I completely cover up with a blanket during my hemodialysis"? "I'm cold" which of these responses by the technician would be best? Make sure the blood pump stopped - CORRECT ANSWER During a treatment, Mrs. Miller's venous needle infiltrates. Which of the actions should the technician take first? It is not permitted by the current ESRD regulations - CORRECT ANSWER A patient is busy with a patient when a machine across the room alarms. The dietician standing nearby mutes the alarm. The technician should have which of these understandings concerning this action? Steal - CORRECT ANSWER A patient who recently had an Av fistula placed in the left forearm is experiencing numbness and tingling of the left hand. The patient's left is cold and fingernail beds are blue. The patient most likely had which of of these symptoms? Thrombosis - CORRECT ANSWER Holding needle puncture sites instead of using spring loaded clamps fistula clamps is recommended to avoid access Disinfecting - CORRECT ANSWER The greatest reduction in microorganism in the dialysis machine is accomplished by Teaching patients how to meet nutrition needs - CORRECT ANSWER The role of the renal dietician includes Hypotension - CORRECT ANSWER During Mrs. King's hemodialysis treatment, she starts actively yawning. The technician suspects she may be experiencing First- use syndrome - CORRECT ANSWER A patient who is receiving an initial hemodialysis treatment on a non- reusable dialyzer should be observed for signs of Creatinine - CORRECT ANSWER A substance that is cleared from the body by healthy kidney is? Whether other patients are having similar symptoms - CORRECT ANSWER During a dialysis treatment, a patient suddenly develops fever and chills. The initial action that should be taken is to determine Air detector - CORRECT ANSWER Which of the following components of the dialysis machine is designed to protect the patient from bubble/foam? Remove disinfectant - CORRECT ANSWER One purpose of priming the bloodlines and extracorporeal circuit pre-dialysis is to? Adequately rinseback as much of the patient's blood as possible at each treatment - CORRECT ANSWER Which of the following actions can the dialysis technician take to help minimize anemia? 7 days - CORRECT ANSWER The hepatitis B virus is able to survive on environmental surfaces for as long as: Change the DNA of microbes so they die or cannot multiply - CORRECT ANSWER A new technician is being oriented to the water treatment system. The equipment technician explains that the purpose of the ultraviolet (UV) light is to? Falls - CORRECT ANSWER For pain management, Mr Rivera is taking narcotic pills as prescribed by his doctor. The dialysis technician knows that taking this medication puts Mr Rivera at increases risk for Time required to mature - CORRECT ANSWER What is a disadvantage of an AV fistula as hemodialysis access compared to other types of access? Prevent prolonged bleeding - CORRECT ANSWER A patient who has an arteriovenous fistula receives a bonus dose of heparin at the beginning of a hemodialysis treatment and a continuous heparin infusion during the treatment. The patient's heparin administration should be terminated 30-60 minutes before the end of treatment in order to Vascular surgeon - CORRECT ANSWER A patient with a right Av fistula arrives at the dialysis facility complaining of pain, tingling, and cold fingers in his right hand. The technician would expect the nurse will notify which of the following physicians for possible corrective action? No additional precautions are necessary for the patient - CORRECT ANSWER A patient is diagnosed with hepatitis C beyond standard precautions. What additional measures. If any, should be taken for the patient? You don't have enough red blood cells to carry oxygen - CORRECT ANSWER A patient tells the technician. "The doctor told me I'm anemic what does that mean"? Which response by the technician would be correct? Two red blood cells - CORRECT ANSWER In hemodialysis, the term anastomosis refers to the connection of? Blood returning to the patient - CORRECT ANSWER Venous pressure is a result of resistance created by the Before each patient shift - CORRECT ANSWER According to the standards of the Association for the Advancement of Medical Instrumentation (AAMI), pre treatment water should be checked for chloramines at which of these times? The patient must receive dialysis in a hospital in a special isolation room - CORRECT ANSWER A patient on hemodialysis goes to the emergency department for persistent coughing and fever. He is diagnosed with active tuberculosis (TB) which of the following actions would the technician expect to be taken in regard to the patient's dialysis treatment? Anaphylaxis (severe allergic reaction) - CORRECT ANSWER Hives, itching, tightness of the chest and respiratory distress may be signs and symptoms of: Ultrafiltration - CORRECT ANSWER Excess fluid is forced out of the blood and into the dialysate during dialysis by which principle 6-8 weeks - CORRECT ANSWER How long does it take a Fistula to mature [Show More]

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