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Terms in this set (137)
AAMI Chemical Analysis of water used for hemodialysis is tested...
A fistula connects...
an artery to a vein
A marker used to determine the middle molecule clearance of a dialyzer is
A mixed-bed DI tank contains
cations and anions
A nephron is made up of...
a glomerulus and a tubule system
A patient who is to receive their first dialysis treatment is prone to...
dialysis disequilibrium syndrome
What is a food high in potassium?
A slow pulse of 54 beats/minute would indicate the patient has
A reason why a dialysis technician is to be certified is
It's a CMS requirement
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of...
clotting of the extracorporeal circuit
A true aneurysm can be dangerous because it...
may rupture and cause the patient to bleed profusely
A patients lab results indicate that the pre-dialysis BUN level was lower than the post dialysis BUN level. When interpreting these findings the technician would seek the answer to which question?
Was the post dialysis sample drawn correctly?
A rapid pulse of 104 beats/minute would indicate that the patient has
AAMI standard for conventional dialysate requires the total microbial count be less than...
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death...
Acceptable interdialytic weight gains are
3-5% of TW
The AAMI standard for endotoxin levels in conventional dialysate is...
less than 0.50 EU/mL
Albumin is an important test that tells about the patients' ________ status
All of the following are phosphate binders EXCEPT...
Vitamin B12 (other options: TUMS, Phos-Lo, Renagel)
All of the following may be signs and symptoms of an infected access EXCEPT...
Numbness and tingling (other options: fever and swelling of the access, redness and warmth, tenderness and drainage)
Asepsis is defined as...
the absence of disease producing organisms
Dialysate that is too hot will cause...
Target weight is defined as the...
weight at which the patient has no edema or fluid in the lungs and BP is normal
Low venous pressure alarm is most likely caused by...
disconnection of the bloodline
If three hours of time has actually passed but the machine is showing that only two and a half hours have passed, the technician should understand that...
the machine was in bypass for 30 minutes
Biohazardous waste includes any material exposed to...
Decreasing the patients prescribed blood flow rate affects the rate of...
After an infiltration of the venous needle, the technician should FIRST...
STOP THE BLOOD PUMP
Dialysate pH should be...
between 6.9 and 7.6
If the air detector alarm is going off and foam is visible in the venous drip chamber, the dialysis technician should immediately...
clamp the venous line
What question should a technician ask during pre-dialysis data collection?
How have you been since your last dialysis treatment?
If a patient complains of being chilled, which action should the technician take?
take the patient's temperature
When setting up the machine, if the conductivity test fails, what action should be taken?
notify the equipment technician
ESRD specific tests such as BUN, Creatinine, and URR are...
indicators of adequacy of the renal replacement therapy
Excess fluid is forced out of the blood and into the dialysate during dialysis by which principle?
Feed conductivity minus product conductivity divided by feed conductivity X 100 is the formula for calculating...
Dizziness and nausea experienced towards the end of the hemodialysis treatment are most likely due to...
Fluid to be removed divided by the treatment time tells us
the ultrafiltration rate
Germicide rebound occurs due to
inadequate dialyzer priming
A semipermeable membrane is a porous barrier that...
allows only certain sized particles to cross
Hives, itching, and tightness of the chest and respiratory distress may be signs and symptoms of
anaphylaxis (severe allergic reaction)
Hyperkalemia can lead to...
If a patient develops an infection post transplant, the largest contributing factor would most likely be...
If the extracorporeal circuit clots, it would be most important to monitor the patient's serum level of...
During dialyzer reprocessing, the blood component is tested to...
check dialyzer for total cell volume
Lidocaine is administered...
A 58-year old patient who is blind comes to treatment accompanied by his wife. Which of these approaches should the dialysis technician use when interacting with the patient?
describe the activity in the immediate enviornment
Low albumin levels in the dialysis patient have been linked with:
higher hospitalization and death rates
A medication that dialyzes off easily is...
Mr. Jones demonstrates how to wash his access. This is an example of which adult learning principle?
Mr. Jones suffers from constipation. He goes to the drug store to buy a laxative. Mr. Jones should avoid which medication?
Milk of Magnesia
Mr. Roberts verbalizes how to hand crank his blood pump in the event of an emergency. This is an example of which adult principle?
Mrs. Pruitt's temperature is elevated post-hemodialysis treatment. Which of these actions should the dialysis technician take?
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?
notify the nurse of 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:
trendelenburg position on the left side
One reason that normal saline is used to prime and perform recirculation for the extracorporeal circuit prior to treatment is to remove:
Normal body pH is...
7.35 - 7.45
One disadvantage of a fistula is an increase in..
time to mature
One cause of aneurysms and pseudoaneurysms is:
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?
blood pump has stopped
Pain at the venous needle site, along with respiratory difficulty and chest pain could be an indicator of:
Patient exposure to chloramines during the hemodialysis treatment may cause:
One sign and symptom of fluid overload is
Solutions that have a higher osmolarity than body fluids are called?
Sam's TW is 70 kilograms (kg). He arrives for treatment today at a weight of 70 kg. 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 treatment today?
the nurse will get an order to decrease the TW
Symptoms of hyperkalemia may include...
numbness and tingling
The accuracy of lab results depends on adherence to proper lab draw technique. You must ensure that labs are drawn:
at the right time, right site, and right order
Short frequent hemodialysis treatments in patients with high BUN (blood urea nitrogen) are performed to prevent:
dialysis disequilibrium syndrome
The medication used to treat anemia is:
The most important monitor in the dialysis setting is:
The extracorporeal circuit consists of the
blood lines and the dialyzer
The normal range of resting respirations in an adult is:
12-20 breaths per minute
The dextrose used in the Dialysate for peritoneal dialysis can cause:
The leading cause of chronic kidney disease for adults in the United States:
The organization that has as a goal to 'improve the care and outcomes of all individuals with kidney disease' is called:
The dialysis technician's role in patient education is to:
reinforce educational information provided
The most important intervention to prevent the spread of infection is:
performing hand hygiene
The movement of fluid from the tissues toward a higher concentration of sodium in the blood is an example of
The functional unit of the kidney, or the structure in the kidney that does the work, is the:
The bruit in an AV fistula or graft is detected by
listening with a stethoscope
The National standard, based on the KDOQI (Kidney Disease Outcomes Quality Initiative) guidelines, for the Urea Reduction Rate (URR) is a ratio greater than:
The most important member of the patient care team is the:
The medication used to improve calcium absorption is:
How do you know if a patient can safely disconnect themselves in an emergency?
let the patient show you after a treatment
'Dwell time' in peritoneal dialysis is defined as:
the amount of time it takes to drain the peritoneal fluid
Dialysate conductivity measures:
the total electrical charge of a solution
Name the two compartments of the dialyzer:
Which statement is true about kidney transplantation?
there is a shortage of available kidney donors
The usual fluid allowance for a person with kidney failure is
1.0 to 1.5 liters per day
The scale says a patient weights 70 kg. This is the same as weighing how many pounds (lb)?
The organization that sets the standards for dialysis water quality is called:
Total cell volume (TCV) is an indirect measure of the:
performance of the dialyzer
Total chlorine levels in the water are tested
before each patient shift and every 4 hours
The purpose of using counter-current flow is to
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
The water softener
operates on the principle of ion exchange
What are the typical signs of fluid overload?
edema and shortness of breath
The usual heparin sodium concentration for anticoagulation during hemodialysis is:
To determine the patency of an arteriovenous vascular access, the dialysis technician should initially feel for the presence of
Ultrafiltration is influenced by
Waste products are removed during dialysis by which principle
The water softener removes
calcium and magnesium
The reprocessed dialyzer is carefully rinsed prior to patient use to remove:
The part of the cell wall of bacteria that, when released, can cause fever in hemodialysis patients is:
The venous needle in an AV fistula
should be placed antegrade
The total pressure that exists across the dialyzer membrane is called
The substance that may be added to the municipal drinking water to make it clearer is:
Which of the following is the most accurate measure of dialysis adequacy?
Which component in dialysate is used to correct metabolic acidosis?
Which of the following is most likely to cause a high venous pressure alarm?
kinking of the venous blood line
What lab tests are used to monitor anemia in the ESKD patient?
Which learning domain is knowledge based?
What is the desired outcome when the patient performs fistula exercises?
enlargement of the vein
Which of the following is the classic sign of hemolysis?
cranberry juice colored blood in the venous line
Which food below is highest in phosphorus?
When fluid replacement is necessary during the hemodialysis treatment, which of the following solutions is used?
0.9% normal saline
Which of the following is NOT a symptom of uremia?
Which of the following is a cause of hypotension during and after dialysis treatments?
removing too much fluid
Which of the following is NOT a possible cause of an increased temperature pre dialysis?
the patient has fluid overload
Which of the following is considered to be safe water for dialysis?
dialysis quality water
Which of the following is the largest gauge?
Which of the following actions would increase diffusion during dialysis?
using a bath that will provide a greater concentration gradient
Which of the following diffuses from the patient's blood during dialysis?
What is the most important activity that the dialysis technician can perform to prevent the spread of infectious disease in the dialysis clinic?
Which learning domain is behavioral based?
When cannulating, the tips of the needles should be at least
1.5 inches apart
Which of the following symptoms would indicate a need to increase the target weight?
hypotension and cramping
Your patient is to receive 2000 units of heparin. The vial you are using is 1000u/ml heparin. How many mLs will you draw up for this patient?
Which of these types of vascular accesses has the fewest complications?
an arteriovenous fistula
Which of the following is used to prevent air in the bloodlines?
tighten all connections
Which organization establishes the standards and recommendations for dialyzer reprocessing?
Which of the following would cause a high venous pressure alarm?
venous needle is against the wall of the vessel
Which of the following might indicate a need to decrease the heparin dose?
patient just had surgery yesterday
Which of the following might indicate the need to increase heparin?
clotting in the extracorporeal circuit
Which of these technician activities contributes to data collection used to measure quality outcomes?
ensuring accurate documentation
You have documented incorrectly on a patient's chart. How do you correct this?
draw line through wrong entry, write error, initial/date entry
A decrease in transmembrane pressure in a high flux dialyzer during hemodialysis is indicative of:
clotting of the extracorporeal circuit
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