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CCHT exam (100 QUESTIONS) WITH COMPLETE SOLUTIONS

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What does vomiting up blood indicate? Correct Answer: gastrointestinal bleeding How would a tech differentiate between an AV graft's arterial and venous side? Correct Answer: The tech will compre ... ss the graft in the middle and feel the thrill on both sides. The STRONGER pulse will be arterial. the fainter pulse will be venous What is the normal range of a pulse rate? Correct Answer: 60-100 beats per minute Why might a patient be receiving Vitamin D therapy? Correct Answer: Vitamin D controls the balance of calcium and phosphorus that is required for bone metabolism. It is needed for healthy bones. Why are dialysis patients more likely to become infected with germs like MRSA? Correct Answer: They usually have weak immune systems. This makes them more likely to become infected with pathogenic organisms, such as MRSA. An AV fistula is an example of what type of access? Correct Answer: Peripheral Define 'peripheral' Correct Answer: Away from the center of the body A patients blood pressure drops from normotensive to hypotensive at 80/40 mmHg. How should you intervene? Correct Answer: Place the patient in Trendelenburg position. This involves raising the patient's feet higher than the heart thus increasing blood flow to the head via gravity. Placing the patient in the Trendelenburg position, decreasing/discontinuing fluid removal, and giving the patient normal saline are interventions used to INCREASE THE PATIENT'S BP. What is the most common cause of a low conductivity alarm? Correct Answer: Running out of either the acid or bicarbonate concentrate What is 'hypoglycemia'? Correct Answer: Low blood sugar, or, below normal levels of sugar in the blood. What are notable symptoms of hypoglycemia? Correct Answer: In a patient with diabetes mellitus, this can cause hunger, confusion, nervousness, sleepiness, or dizziness. How should you intervene when hypoglycemia occurs in your patient? Correct Answer: A fast-acting carbohydrate is needed, such as juice. What is the conversion of desired weight loss? HINT: 1 kg = Correct Answer: 1 kg = 1,000 mL edematous Correct Answer: An accumulation of an excessive amount of watery fluid in cells, tissues, or body cavities. Think 'edema'. How is the EDW to be considered? Correct Answer: The target post-dialysis weight or estimated dry weight is the patient's weight without excess fluid. The water supply to the water treatment system is called? Correct Answer: FEED WATER. Feed water is the water that comes from outside of the dialysis center. Feed water must pass through all parts of a water treatment system before it is used for mixing concentrates and making dialysate. What is the main objective of QAPI? Correct Answer: Quality Assessment and Performance Improvement is a program required as part of Medicare's Conditions for Coverage. This includes improving safety outcomes, and increasing patient satisfaction. Which part of the water treatment system removes endotoxins? Correct Answer: An ultrafilter is a fine membrane filter that removes very small particles. It is the most effective water treatment component for removing bacterial endotoxins. What is the purpose of UF profiling? Correct Answer: the purpose of UF profiling is to minimize hypotension. [Show More]

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