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QUESTIONS AND ANSWERS
nephron - correct answer ✅the function unit of the kidney, or the structure in the kidney that does the work, is the diabetes - correct answer ✅the leading cause of chronic kidney disease for adults in the united states: a glomerulus and a tubule system - correct answer ✅a nephron is made up elevated hematocrit - correct answer ✅which of the following is not a symptom of uremia 5,540ml - correct answer ✅Mrs. smith's dry weight is 62 kg. her pretreatment weight when she came in for treatment on monday was 67kg. the priming saline amount is 240ml, 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?
QUESTIONS AND ANSWERS
1,385 ml/hr - correct answer ✅based on Mrs. smith's total amount of fluids to be removed, what is the ultrafiltration rate per hour (ml/hr)for her 4- hour treatment? removing too much fluids - correct answer ✅which of the following is a cause of hypotension during and after dialysis treatments? 154 - correct answer ✅the scale says a patient weights 70 kg. this the same as weighting how many points (lb)? 7.35-7.45 - correct answer ✅normal body ph is hypertension - correct answer ✅one sigh and symptoms of fluids overload is
QUESTIONS AND ANSWERS
diffusion - correct answer ✅decreasing the patient's prescribed blood flow affects the rate of using a bath that will provide a grater concentration gradient - correct answer ✅which of the following actions would increase diffusion during dialysis? urea - correct answer ✅which of the following diffusion diffuses from the patients blood during dialysis? transmembrane pressure - correct answer ✅ultrafiltration is influenced by peritonitis - correct answer ✅the most common complication in peritoneal dialysis is
QUESTIONS AND ANSWERS
hyperglycemia - correct answer ✅the dextrose used in the dialysate for peritoneal dialysis can cause immunosuppressive medication - correct answer ✅if a patient develops an infection post transplant, the largest contributing factor would most likely be: infection - correct answer ✅the most frequent cause of death in the first year post transplant is performance of the dialyzer - correct answer ✅total cell volume (TCV) is a indirect measure of the 80% - correct answer ✅the TCV should be no less than 11 hours - correct answer ✅the manimum dwell time to achieve sterilization with the chemical renalin is
QUESTIONS AND ANSWERS
transmembrane pressure - correct answer ✅the total pressure that exists across the dialyzer membrane is called between 7.0 and 7.4 - correct answer ✅dialyser ph should be hemolysis - correct answer ✅dialyzer that is too hot will cause bicarbonate - correct answer ✅which of the following component in dialysate is used to correct metabolic acidosis? before each patient shift or every four hour - correct answer ✅total chlorine levels in the water are tested calcium and magnesium - correct answer ✅the water softener removes
QUESTIONS AND ANSWERS
200 CFU/ML -
correct answer ✅AAMI standars for the total microbial count of dialysate shall not exceed operates on the principle of ion exchange - correct answer ✅the water softener dialysis quality water - correct answer ✅which of the following is considered to be safe water for dialysis hemolysis - correct answer ✅patient expose to chloramines during the hemodialysis treatment may cause less than two (2) EU/ML. - correct answer ✅according to AAMI the standard levels for endotoxin levels is
QUESTIONS AND ANSWERS
responds to a low venous pressure alarm. the most likely cause for this alarm ph and conductivity - correct answer ✅the hemodialysis machine continuously monitors may parameters. which of the these parameters must be verified by an external measuring device? kinking of the venous blood line - correct answer ✅which of the following is most likely to cause a high venous pressure alarm? 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? clotting of the extrecorporeal circuit - correct answer ✅rinse in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of
QUESTIONS AND ANSWERS
air - correct answer ✅one reason that normal saline is used to rinse and prime the extracorporeal circuit prior to treatment is to remove device inside the machine that converts air pressure into electronic signal - correct answer ✅which of the following best describes the transducer protector? venous needle is against the wall of the vessels - correct answer ✅which of the following would cause a high venous pressure alarm? 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 blood lines and the dialyzer - correct answer ✅the extracorporeal circuit consists of the
QUESTIONS AND ANSWERS
stop the blood pump - correct answer ✅during a hemodialysis treatment, a patient's venous needle infiltrates. which of these actions should the dialysis technician take first? an arteriovenous fistula - correct answer ✅which of these types of vascular access has the fewest complication in time to mature - correct answer ✅one disadvantage of a fistula is an increase in poor rotation of sites - correct answer ✅one cause of aneurysm and pseudo aneurysm is enlargement of the vein - correct answer ✅what is the desired outcome when the patient performs fistula exercise? listening with a stethoscope - correct answer ✅the bruit in an AV fistula or graft is detected by
QUESTIONS AND ANSWERS
2.0 inches apart - correct answer ✅when cannulating, the tips of the needles should be at least should point in the direction of the blood flow - correct answer ✅the venous needle in an AV fistula may rupture and cause the patient to bleed profusely - correct answer ✅a true aneurysm can be dangerous because it an artery to a vein - correct answer ✅a fistula connects infection - correct answer ✅prior to cannulation a technician notices the skin over the patient's fistula is reddened and warm to touch. these symptoms are most likely due to
QUESTIONS AND ANSWERS
foster's machine alarms and foam is visible in the venous drip chamber. the immediate action of the dialysis technician should be to. weight at which the patient has no edema or fluids in the lungs and bp is normal - correct answer ✅dry weight is defined as the hypotension and cramping - correct answer ✅which of the following symptoms would indicate a need to increase the estimated dry weight (EDW)? the nurse will get an order to decrease the EDW - correct answer ✅Sam's EDW is 70 kilograms (KG). he arrives for treatments today at a weight of 70kg. he complains of shortness of breath and you notice his ankles are swollen. you notify the charge nurse. what do you think will be the plan for sam's treatments todays? the patient has fluid overload - correct answer ✅which of the following is not a possible cause of an increased temperature pre-dialysis?
QUESTIONS AND ANSWERS
cranberry juice colored blood in the venous line - correct answer ✅which of the following is the classic sign of hemolysis trendelenburg position on left side - correct answer ✅Ms. foster complication 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: hypertonic - correct answer ✅solution that have a higher osmolarity than body fluids are called? cleansing of the hands - correct answer ✅the most important intervention to prevent the spread of infection is: using gloves when touching the machine - correct answer ✅infection control protocol for hemolysis equipment should include which of these actions by the caregiver?
QUESTIONS AND ANSWERS
the absence of disease producing organism - correct answer ✅asepsis is defined as hemoglobin - correct answer ✅if the extracorporeal circuit clots and it must be discarded, it would be most important to monitor the patient's serum levels of edema and shortness of breath - correct answer ✅what are the typical signs of fluids overload cardiac arrest - correct answer ✅hyperkelemia can lead to tighten all connections - correct answer ✅which of the following is used to prevent air in the bloodlines? hypotension - correct answer ✅fifteen minutes before the end of a hemodialysis
QUESTIONS AND ANSWERS
treatment, a patient complains of dizziness and nausea. these symptoms are most likely due to take the patient's temperature - correct answer ✅during the hemodialysis treatment, a patient complains of feeling chilled. in addition to getting the blanket, which of these actions should the technician take? dialysis disequilibrium syndrome - correct answer ✅short frequent hemodialysis treatment in patients with high BUN ( blood urea nitrogen ) are performed to prevent call for assistance - correct answer ✅during hemolysis a patient goes into cardiac arrest. the first action of the dialysis technician should be? dialysis disequilibrium syndrome - correct answer ✅a patient who is to receive their first dialysis treatment is prone to
