Fresenius medical care PCT test with complete solutions

Fresenius medical care PCT test with complete solutions The role of the RN in a dialysis facility is to implement the _____ and the patient ________? ✔✔Plan of Care, Education Plans The number one cause of chronic re ...

Fresenius medical care PCT test with complete solutions The role of the RN in a dialysis facility is to implement the _____ and the patient ________? ✔✔Plan of Care, Education Plans The number one cause of chronic renal failure is? ✔✔Diabetes When going from a dirty area to retrieve supplies in a clear area, staff is required to complete hand hygiene? T or F ✔✔True Hazardous Materials Identification System (HMIS) Label are required on all hazardous materials including individual bicarbonate containers? ✔✔True What soultion should be used t disinfect a large blood spill area (Greater that 10mL)? ✔✔1 to 10 bleach solution The main rout of transmission of Hepatitis B in Hemodialyis Facilities is by exposure to Infected _________ and _______? ✔✔Infected blood and Body Fluids When Caring for a patient who is Hepatitis B positive, After disconnecting the bloodlines, the tech MUST perform which 3 actions before documenting? ✔✔Remove Gloves, Sanitize Hands, put on a fresh pair of gloves Patients who are hepatitis B surface B antigen Positive should be dialyzed in a _______________ area of the dialysis center on a ______________ machine? ✔✔Separate, Dedicated What PPE should you wear when documenting in the isolation room? ✔✔Clean Gloves The tech has performed a rinseback on a patient and failed to gather supplies needed to disconnect the patient. What 2 things MUST the tech do prior to getting clean supplies? ✔✔Remove Gloves, Wash/Sanitize Hands Dialysate used for in center hemodialysis is? ✔✔Non-Sterile Who ultimately determins the dialysate bath used for a patients treatment? ✔✔Physicians ONLY!!! Individual Acid containers must be __________ with chemical content ✔✔Labeled Three soultes that may be present in a prescribed dialysate solution? ✔✔Sodium Bicarbonate, potassium and Calcium A major complication that occurs when the patient is dialyzed on a hypo tonic dilysate is? ✔✔Hemolysis The __________area of the dialysate hs the most impact on dialyzser clearance ✔✔surface Which of the following would ADVERSELY affect clearance? ✔✔Air in the Dialyzer The Online Clearance Goal for Hemodialysis is spKt/v of? ✔✔1.4 Dialysis is affected by these 4 things? ✔✔Dialysate Flow, Dialysis Treatment Time, Dialyzer size, Blood flow rate Besides potassium an electorlyte commonly adjusted in the hemodialysis acid bath is??? ✔✔Calcium The three ingredients in a dialysate solution/bath are? ✔✔calcium, bicarbonate, RO Water Urine flows through the _________ from the kidneys to the______ to the ________to the ______ ✔✔Urinary tract, ureters, bladder, urethra The Transmembrane pressure (TMP) measures the ________ difference across the membranes of the dialyzer membrane? ✔✔Pressure Osmosis ✔✔Diffusion of water through a selectively permeable membrane from low solute to an area to high concentration. A major factor affecting ultraftration is ✔✔Pressure A rise in ____________________ during hemodialysis is likely to indicate clotted fibers? ✔✔Trans membrane Pressure Water in the dialysate may also be reffered to _______ water? ✔✔R.O A ____ is considered the access of choice because the lowest complication rate ✔✔fistula A patient with severe hypertension is to start hemodialysis, The patient does not have diabetes or cardiac problems, What type of access is preferable? ✔✔Fistula Counter current flow of blood and dialysis increases the rate of? ✔✔Diffusion Movement of molecules from an area of higher concentration to an area of lower concentration. ✔✔Diffusion Use of dialysate filter allows the production of ________ ✔✔Ultra pure Water Conductivity ✔✔The ability of a substance to conduct an electrical charge Normal _______ is used to rinse and prime the ubing of th exctracorporeal circuit to remove sterilant and air ✔✔Saline Air is removed from the exctracorporeal circuit before initiating treatment because it may cause _________ when trapped in the dialyzer ✔✔Clotting the most likely cause of contamination of the exctracorporeal circuit are the ______________? ✔✔bloodlines are in the prime bucket with open end caps A low level arterial drip chamber can result in ________ entering the system causing and air embolism or clotting ✔✔Air When blood escapes from the dialyzer blood compartment in the dialysate fluid compartment? ✔✔Blood Leak Prior to applying blood pressure cuff on a new patient, the PCT should ______ both the patients arms for the presence of __________ ✔✔Examine, an access available weight gain is described as the pre-treatment weight minus ✔✔Dry Weight A red and warm vascular access may be sign of ✔✔Infection Pre-Treament evalution of an internal vascular access inculded palpating for a _________ ✔✔Thrill What three items of PPE are required when performing Venipuncture? ✔✔Gloves, Mask, Gown Damage to the intimal lining of the vessel is likely to occur when the when the needle is ________ after insertion ✔✔Flipped When cannulating a new A-V Fistula always apply a _________ Stay at least _________ from the anastomosis ✔✔Tourniquet, 1.5- 2 inches Pre pump arterial pressure should not exceed ________? ✔✔-250 Make sure access is stabilized and remains ✔✔Uncovered The venous needled must be placed ________ the blood flow ✔✔With The arterial needle is placed _________ the flow of blood ✔✔either with or against The patient's venous needled has infiltrated and another needle will need to be inserted the care giver would insert the new needle ______ the infiltrate and apply __________ to the area ✔✔above, apply ice When remove needles from an internal access the needle should be _________ remove the needle from the patients access ✔✔Engaged, While Access ________ can jeopardize the adequacy of a dialysis treatment ✔✔Recirculation In addition to obtaining the patients blood pressure, pulse, and tempeture during pre treatment evalution the nurse would also check the patients for _________ ✔✔Peripheral Edema Which of following complications is most likely cause by a kink in the blood line? ✔✔Hemolysis Excessive fluid removal during dialysis combined with the patients's taking an antihypertensive medication may result in the patients having ✔✔Hypotension A patient is being observe for symtpoms of uremia which include? ✔✔Loss of Appetite Hemolyzed blood could be caused by ✔✔An arterial pressure of negative 270 During the final thirty minutes of dialysis the patients complais of blurred vision and dizziness. The care giver should evaluate for signs of __________ ✔✔Hypotension The Group of symptoms that include feelings of faintness double vision, perspiration, irritability, and hunger may be associated with what patient complication ✔✔Hypoglycemia The primary cause of anemia in the dialysis patient is ✔✔Decrease in the production of erthropoietin. During the safety the tech notes the following, Which one requires intervention ✔✔Access and patients face are covered What happens when the dialysate flow stops during dialysis? ✔✔The patients blood pump stops Whic alarm will NOT stop the blood pump? ✔✔blood pressure alarm A patient begins the experience shortness of breath, chest pain, sudden hypotension the blood is bright red and translucent. The complication MOST LIKELY occuring is ✔✔Hemolysis Chlormines or bleach in the dialysate during can cause a patient death due to ✔✔Hemolysis Improperly primed dialyzers and blood can increase the risk of ✔✔Air embolism and clotting in the dialyzer Hypokalemia can result in ________ and __________ ✔✔Muscle weakness, death During the dialysis treatment a large clot is noted in the venous chamber. The clinician should replace the ________ ✔✔Venous LIne THe new needle place following an ARTERIAL needle infiltration should be located __________ the infiltrated. ✔✔above or below