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2024/2025 Bonent Review Exam | Questions with Correct Answers | 100% Verified, Exams of Nursing

2024/2025 Bonent Review Exam | Questions with Correct Answers | 100% Verified/2024/2025 Bonent Review Exam | Questions with Correct Answers | 100% Verified/2024/2025 Bonent Review Exam | Questions with Correct Answers | 100% Verified/2024/2025 Bonent Review Exam | Questions with Correct Answers | 100% Verified

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During pre-treatment patients evaluation what is the best question for the PCT to ask? Correct Answer How have you been since your last dialysis treatment? During the set- up of a machine the alarm test for conductivity fails. Which action would be best for the pct to take Correct Answer Contact the biomed equipment tech The dialysis industry strives to improve the quality of patient outcomes. One way this is done is through continuous quality improvement (CQI) process. What is a model of the CQI process? Correct Answer plan, do, check, and act Nephron Correct Answer The functional unit of the kidney is called the Diabetes Correct Answer The number one reason for chronic kidney failure is the united states is? What is the acid-base imbalance commonly seen in patients with chronic renal failure? Correct Answer Metabolic acidosis What are the functions of the kidney? Correct Answer Fluid balance Electrolyte balance Elminates metabolic waste Approximately what percent of the cardiac output is received by the kidney's? Correct Answer 23% What is considered an elevated serum potassium level for a dialysis patient? Correct Answer 5.5 mEq/L

Hormones made by the kidney are? Correct Answer Erythropoietin Calcitriol Renin Hyperkalemia may cause Correct Answer Serious or even deadly changes in the heart rhythm What is the PCT's role in patient teaching? Correct Answer Reinforce teaching the patient may have received from the nurse, physician, dietitian, or other teammates What type of vascular access has fewest complications? Correct Answer The a/v fistula Risks associated with a deionization (D.I) water treatment system? Correct Answer Once a DI system is exhausted it releases all of the ions it once held. DI has caused most of the water treatment related deaths in patients. DI does not remove bacteria The absence of pathogens Correct Answer Asepsis What organization establishes dialysis water quality standards? Correct Answer Association for the Advancement of Medical Instrumentation (AAMI) To make public drinking water safe municipal water supplies commonly treat water with chemical additives. These same additives must be removed from the water supply used for hemodialysis. Common drinking water additives are? Correct Answer Chlorine and Ammonia Fluorine Alum Hemolysis Correct Answer Bursting of red blood cells

Hemodialysis infection control precautions are? Correct Answer Dispose of needles in a puncture resistant color coded box. Always wear a protective gown where there is potential for contact with blood or body fluids. Promptly clean blood spills/splashes with appropriate disinfecting agent For patient or equipment contact. When troubleshooting the vascular access. Handling blood/body fluid samples. Correct Answer Gloves must be worn The heparin sodium concentration commonly used in hemodialysis is Correct Answer 1ml 1,000 units When should the PCT verify the absence of residual sterilant? Correct Answer Immediately before initiating treatment If the extracorporeal circuit clots, it would be most important to monitor the patients? Correct Answer Hemoglobin level One reason normal saline is used to prime the extracorporeal circuit prior to initiating treatment is to Correct Answer Remove air What is the name of the instrument used to measure blood pressure? Correct Answer Sphygmomanometer What would improve the adequacy of the dialysis treatment Correct Answer Increase the treatment time During a hemodialysis treatment a patient goes into cardiac arrest. What should the PCT do first? Correct Answer Call for help

Prior to cannulation the technician notices the patient's a/v fistula is red and warm to the touch. These symptoms are most likely due to Correct Answer Clotting Lab results indicate the patient's pre-treatment BUN value was lower than the post treatment BUN value. A potential cause could be Correct Answer The pre-dialysis sample was taken from the venous line after the treatment started Half way through a treatment the technician notices a significant increase in transmembrane pressure. This is most likely due to Correct Answer Clotting of the dialyzer A technician notices a drop of blood on the surface of a patient's hemodialysis machine. The best action is to Correct Answer Clean the machine surface immediately When the technician accidentally spills undiluted bleach on the floor which resource will provide the PCT with the appropriate safety information and guidance on how to clean the spill? Correct Answer The MSDS Osmosis Correct Answer The movement of fluid from an area of low solute concentration to an area of high solute concentration What is the most accurate measure of dialysis adequacy? Correct Answer KT/V Diffusion Correct Answer Solutes from an area of high concentration to an area of low concentration Pericarditis is a complication seen in renal failure patients Correct Answer Inadequate dialysis prescription. Missed dialysis treatments. Fluid overload

Peripheral neuropathy Correct Answer Tingling or numbness in the toes and fingers What physician orders may be expected for a patient with pericarditis? Correct Answer Increased dialysis time. No heparin dialysis Biohazardous waste includes any material exposed to Correct Answer Blood and body fluid. Sharps and infectious waste. Pathology specimens and infectious mircobiological materials. 15 minutes before the end of the treatment a patient complains of being light headed, dizzy, and of nausea. This is most likely caused by? Correct Answer Hypotension A 58 year old blind patient comes to treatment escorted by his wife. What approach should the technician use when interacting? Correct Answer Describe the activites in the immediate environment The hemodialysis machine monitors many parameters. What parameters must be verified by a second independent means? Correct Answer Conductivity The technician should be aware that the blood pump stops during this alarm conditions Correct Answer High or low venous pressure alarm The technician suspects that a patient is experiencing an air embolism. After stopping the blood pump the PCT should Correct Answer Place the patient in trendelenburg position and on the left side During the hemodialysis treatment the patient complains of suddenly feeling chilled. What actions should the technician take? Correct Answer Take the patient's temperature

Patient complains of pain at the venous needle site. The PCT notes swelling distal to the site and the venous pressure rising. The technician should suspect? Correct Answer Infiltration During a hemodialysis treatment the patient's venous needle infiltrates. What should the technician do first? Correct Answer Stop the blood pump During cannulation a technician removes the cap from a needle and accidentally touched the tip of the needle on the chair. What action should the technician take? Correct Answer Discard the needle in the sharps container A patient's venous pressure alarm sound during treatment. After muting the alarm the technician's next actions should be Correct Answer Inspecting the extracorporeal circuit To determine the patency of an a/v vascular access the dialysis technician should initially palpate for the present of a Correct Answer Thrill A patient on hemodialysis sufferent a stroke which left him with right sided weakness. When assisting the patient from his wheel chair to his dialysis chair, the technician should bear the weight primarily on the muscles of the Correct Answer Legs The most important intervention to prevent the spread of infection in the dialysis center is Correct Answer Washing of hands The technician observes that the hardness reading after the water softener is above the acceptable limit, the technician should check the brine tank's level of Correct Answer Salt

During routine water testing the technician notices the chlorine level after the first carbon tank is 0.2mg/l. What actions should the technician take first? Correct Answer Obtain a sample after the second carbon tank Prior to each patient shift it is essential to perform a water quality checks for what substances? Correct Answer Chlorine and chloramines The antidiuretic hormone (ADH) causes healthy kidneys to Correct Answer Prevent excess fluid loss by reabsorbing water During a hemodialysis treatment the technician responds to a high venous pressure alarm. The technician should be aware that the most likely cause of this alarm is a Correct Answer Kink in the blood line During a hemodialysis treatment a patient tells the technician "according to your wall clock 4 hours has passed since the start of my treatment, but according to my machine only 3 hours and 45 minutes have passed. What's wrong?" The technician should understand that one reason for this time discrepancy could be? Correct Answer As a result of the frequent conductivity alarms the machine was in by-pass for 15 minutes When conductivity alarms sound during hemodialysis treatment the technician should expect? Correct Answer The flow of dialysate by-pass the dialyzer What pre-treatment component of the water treatment system is required to have a back up? Correct Answer A carbon tank What technician activity contributes to data collection used to measure quality outcomes? Correct Answer Ensuring accurate documentation The most effective treatment for muscle cramping is? Correct Answer A normal saline bolus in the venous line

During the hemodialysis treatment a patient complains of feeling light headed. The technician notes the patient appears pale and cyanotic. The patient's respiratory rate and depth are increased. This patient is most likely experiencing? Correct Answer Hypoxia Bacterial exposure from water may cause? Correct Answer A pyrogenic reaction Medications used in the treatment of secondary hyperparathyroidism are Correct Answer Calcijex Zemplar Sensipar Poor blood flow through a central venous catheter may be improved by the technician by Correct Answer Repositioning the patient. Having the patient take a deep breath and cough. Reversingthe blood lines. Who is ultimately responsible for maintaining the facility's hemodialysis water quality standards? Correct Answer Medical director Recent labs indicate the patient's KT/V is a 1.0 and URR is 60.5 what is the significance of this result? Correct Answer The treatment time should increased The total pressure in the blood circuit is a result of Correct Answer Blood flow rate controlled by the blood pump speed. Diameter of the fistula needle. Resistance to flow in the blood line. Hepatitis B positive patient's do not require an isolated patient station? Correct Answer False

Personal protective gowns are only required to be worn on the treatment floor during cannulation procedures, or during treatment initiation and and termination? Correct Answer False The air detector monitors for the presence of air/foam in Correct Answer The venous blood line Which lab value is not affected by diet and is used as an indicator of renal failure? Correct Answer Creatinine Heparin is used in hemodialysis to Correct Answer Prevent clots from forming in the extracorporeal circuit A patient experiencing pericarditis may display symptoms of? Correct Answer Chest pain. Fever. Friction rub What care might you expect the physician to order for a patient with pericarditis? Correct Answer No heparin dialysis. Increased intensity of dialysis What is the expected affect of sodium modeling during a hemodialysis treatment? Correct Answer It may decrease episodes of hypotension Careful rinsing of a reuse dialyzer prior to us by the patient is done primarily to remove Correct Answer Residual disinfectant

The movement of solutes through a semipermeable membrane from a area of high solute concentration to an area of low solute concentration is best described as? Correct Answer Diffusion Upon initiation of treatment, a patient with a reuse dialyzer and an A/V fistula complains of a burning sensation in his access. The first thing the technician should do is Correct Answer Stop the blood pump and clamp the line Conductivity meter function and results dependant on Correct Answer Passing a small electric current through the dialysate The number assigned to a dialyzer indicating the membrane's permeability for a particular molecule or particle is called Correct Answer The mass transfer coefficient (KoA) The primary factor causing anemia in patients with chronic renal failure is Correct Answer Insufficient production of the hormone erythropoietin A dialysis technician who aquires a hepatitis B infection at work most likely will have acquired the virus by Correct Answer Contaminated needle stick The hepatitis B virus can remain alive and viable on environmental surface for greater than one week Correct Answer True What is not an acceptable level of post softener water hardness? Correct Answer 1. grains per gallon When should the water hardness test be conducted? Correct Answer Once a day At the end of the treatment day

How often should water be tested for chlorine and chloramines? Correct Answer Prior to each patient shift According to industry standards the total endotoxin count of dialysate shall not exceed Correct Answer 2 EU/ml with an action level of 1. According to industry standards the total microbal content of dialysate should not exceed Correct Answer 200 CFU/ml What is the criteria for discarding a reuse dialyzer Correct Answer Aesthetic appearance. The dialyzer is less than 80% of its original total fiber bundle volume What is the primary reason dialyzers are reprocessed Correct Answer Environmental benefit of reduced waste in land fills and lower cost of treatment The dialysis machine is the most reliable monitor of the dialysis patient Correct Answer False A dialysis patient may experience pruritis because of Correct Answer Uremia of the secondary hyperparathyroidism. Elevated phosphorus level. Calcium phosphate crystals under the skin What is a possible indication of a patient receiving an insufficient heparin does Correct Answer Prolong post treatment bleeding. A heavily streaked dialyzer. Clots in the venous drip chamber If you suspect clots are developing in the venous drip chamber the first thing a technician should do is Correct Answer Administer a saline bolus

Anaphylaxis may be caused by Correct Answer A drug allergy. A reaction to residual sterilant/ germicide in a reuse dialyzer. Residual ethylene oxide in a new dialyzer Dialysis disequilibrium syndrome occurs more frequently with a new dialyzer Correct Answer False Dizziness, yawning, a cold sweat, tachycardia, nausea, vomiting, loss of consciousness, and seizures may all be signs/symptoms of Correct Answer Hypotension What is the correct angle to cannulate an a/v fistula Correct Answer 25 - 30 degree angle What is the correct angle to cannulate an a/v graft Correct Answer 25 degree angle The disadvantage of an a/v fistula over an a/v graft Correct Answer After placement the fistula requires a longer time before it can be used One major cause of aneurysms and pseudo aneurysm is Correct Answer Poor access site rotation Increased recirculation in an internal access may be due to Correct Answer Needle tips are place too close together What is the best hemoglobin range for a hemodialysis patient Correct Answer 10.0-12. g/dL During pre-treatment evaluation your patient whonjust started using his new a/f fistula complains of mild pain in his access arm. You note it is cool to the touch and swollen. As a technician your best response would be to Correct Answer Evalute for patency and inform the nurse

A patient with a new a/v fistula may require surgical intervention for which of the following signs/symptoms Correct Answer Finger tips are cyanotic, with poor capillary refill, and molted skin Typically hemodialysis patients are on a diet which restricts/limits all of Correct Answer Phosphorus Potassium Sodium Hemodialysis technicians are professional members of the health care team. Expected professional behaviors are Correct Answer Respectfully addressing your patients and your peers, don't shout across treatment room. Being at work on time, neatly groomed, and ready to work when you arrive. Protect everyone's private and confidential information Hydraulic pressure can be applied to the blood of dialysate compartment of a dialyzer to force water across the membrane. This pressure difference across the membrane is called Correct Answer Transmembrane pressure When fluids cross a semipermeable membrane some amount of solute may be pulled along with it. This transport mechanism is best described as Correct Answer Convection Dialysate fluids helps uremic toxins, excess electrolytes, and other waste products diffuse from the patient's blood. The diffusion rate dependents on Correct Answer Concentration gradient Your patient arrives with a pre-treatment weight of 101.5 Kg. The prescribed treatment time is 4 hours, the estimated dry weight is 98.0 Kg, and your facility protocol requires a total of 500 ml normal saline rinse and prime. With these parameters what would you expect the hourly ultrafiltrationrate to be? Correct Answer 1,500 ml/hr

The national vascular access improvement initiative started by the centers for medicare and medicade services is called Correct Answer Fistula first When evaluating a patient's fistula you should listen carefully for the bruit and expect to hear a continuous low-pitched sound along the course of the vessel. A change in pitch to a higher frequency along the path may indicate development of Correct Answer Narrowing of the vessel wall or stenosis Common causes of death among dialysis patients Correct Answer Cardiovascular disease and infection The most common type of native a/v fistula links the Correct Answer Radial artery and cephalic vein The fistula first initiative has 11 change concepts and an ultimate goal of Correct Answer Increasing fistula use while decreasing the use of catheters Blood recirculation in an access occurs when Correct Answer Dialyzed blood returning through the venous needle mixes with blood entering the arterial needle Chronic recirculation of blood can cause symptoms of uremia. Causes of recirculation are Correct Answer Stenosis Needle tips are too close together Blood lines are reversed Lab values most frequently monitored for hyperparathyroidism include Correct Answer Calcium, phosphorus, and parathyroid hormone The charge nurse informs you that the doctor has just decreased your patient's estimated dry weight by 1.0 kg. What signs or symptom would you expect to see when

a patient's dry weight needs to be decreased? Correct Answer Hypertension, edema, and difficulty breathing The functional unit of the kidney, or the structure in the kidney that does the work is the Correct Answer Nephron The leading cause of chronic kidney disease for adults in the united states Correct Answer Diabetes Nephron is made up of Correct Answer A glomerulus and a tubule system Symptoms of uremia are Correct Answer Decreased ability to concentrate Itching Lack if appetite Mrs. Smithms dry weight is 62kg. Her pre-treatment weight when she came in for treatment on monday was 67kg. The priming saline amount is 240ml, the rinseback amount is 200 mL, fluid from medications 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? Correct Answer 5,540ml Based on Mrs. Smith's total amount of fluid to be removed, what is the ultrfiltration rate per hour for her 4-hour treatment? Correct Answer 1,385 mL/hr What is a cause of hypotension during and after dialysis treatments? Correct Answer Removing too much fluid The scale says a patient weights 70kg. This is the same as weighing how many pounds? Correct Answer 154 Normal body pH is Correct Answer 7.35-7.

One sign and symptom of fluid overload is Correct Answer Hypertension Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. Correct Answer Potassium Water moves across a membrane from an area of lower solute concentration to an area of higher solute concentration by Correct Answer Osmosis Waste products are removed during dialysis by Correct Answer Diffusion Excess fluid is forced out of the blood and into the dialysate during dialysis by Correct Answer Ultrafiltration What action would increase diffusion during dialysis Correct Answer Using a bath that will provide a greater concentration gradient What diffuses from the patient's blood during dialysis Correct Answer Urea Ultrafiltration is influenced by Correct Answer Transmembrane pressure The most common complication in peritoneal dialysis is Correct Answer Peritonitis The dextrose used in the dialysate for peritoneal dialysis can cause Correct Answer Hyperglycemia If a patient develops an infection post transplant, the largest contributing factor would most likely be Correct Answer Immunosuppressive medication The most frequent cause of death in the first year post transplant is Correct Answer Infection

Total cell volume is an indirect measure of the Correct Answer Performance of the dialyzer The TCV should be no less than Correct Answer 80% The minimum dwell time to achieve sterilization with the chemical renalin is Correct Answer 11 hours The reprocessed dialyzer is carefully rinsed prior to patient use to remove Correct Answer Residual sterilant Germicide rebound occurs due to Correct Answer Inadequate dialyzer priming Which organization set the standards and recommendations for dialyzer reprocessing? Correct Answer Aami The blood path integrity is tested to eliminate the possibility of a blood leak. The drop in pressure should not exceed Correct Answer 10mmHg The purpose of using counter-current flow is to Correct Answer Increase the rate of waste removal The total pressure that exists across the dialyzer membrane is called Correct Answer Transmembrane pressure Dialysate pH should be Correct Answer Between 7.0 and 7. Dialysate that is too hot will cause Correct Answer Hemolysis

Which of the following component in dialysate is used to correct metabolic acidosis Correct Answer Bicarbonate Total chlorine levels in the water are tested Correct Answer Before each patient shift or every four hours The water softener removes Correct Answer Calcium and magnesium Aami standards for the total microbial count of dialysate shall not exceed Correct Answer 200CFU/mL The water softener Correct Answer Operates on the principle of ion exchange Whatbis considered to be safe water for dialysis Correct Answer Dialysis quality water Patient exposure to chloramines during the hemodialysis treatment may cause Correct Answer Hemolysis According to aami the standard level for endotoxin levels is Correct Answer Less than 2 EU/mL Feed conductivity product conductivity divided by x 100 is the formula calculation of Correct Answer Percent rejection A mixed bed DI tank contains Correct Answer Cations and aninos The substance that may be added to the municipal drinking water to make it clearer is Correct Answer Aluminum Aami chemical analysis of water used for hemodialysis is tested Correct Answer Annually

The part of the cell wall of bacteria that, when released, can cause fever in hemodialysis patients is Correct Answer Endotoxin During a hemodialysis treatment the technician reponds to a low venous pressure alarm. The most likely cause for this alarm is Correct Answer Disconnection of the blood line The hemodialysis machine continously monitors many parameters. What parametersmust be verified by an external measuring device? Correct Answer pH and conductivity What is most likely to cause a high venous pressure alarm? Correct Answer Kinking of the venous blood line During the set-up of a hemodialysis machine, the alarm test for conductivity fails. What actions should the dialysis technician take? Correct Answer Notify the equipment technician A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of Correct Answer Clotting of the extracorporeal circuit Transducer protector Correct Answer Device inside the machine that converts air pressure into electronic signal What would cause high venous pressure alarm? Correct Answer Venous needle is against the wall of the vessel The air detector alarms during treatment. If the machine is working properly, the dialysis technician should expect what events to have occured Correct Answer Blood pump has stopped

The extracorporeal circuit consists of the Correct Answer Blood lines and the dialyzer One disadvantage of a fistula is an increase in Correct Answer Time to mature One cause of aneurysms and pseudoaneurysms is Correct Answer Poor rotation of sites What is the desired outcome when the patient performs fistula exercises? Correct Answer Enlargement of the vein The bruit in an av fistula or graft is detected by Correct Answer Listening with a stethoscope When cannulating , the tips of the needles should be at least Correct Answer 2 inches apart The venous needle in an av fistula Correct Answer Should point in the direction of the blood flow A true aneurysm can be dangerous because it Correct Answer May rupture and cause the patient to bleed profusely A fistula connects Correct Answer An artery to a vein 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 Correct Answer An infection A slow pulse of 54 beats/minute would indicate the patient has Correct Answer Bradycardia

During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the venous drip chamber the immediate action of the dialysis technician should be to Correct Answer Clamp the venous line Dry weight is defined as the Correct Answer Weight at which the patient ha sno edma or fluid in the lungs and BP is normal What symptoms would indicate a need to increase the estimated dry weight Correct Answer Hypotension and cramping Sam's edw is 70kg. He arrives for treatment 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 treatment today? Correct Answer The nurse will get an order to decrease the edw What is a classic sign of hemolysis Correct Answer Cranberry juice colored blood in the venous line 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 Correct Answer Trendelenburg position on the left side Solutions that have a higher osmolarity than body fluids are called Correct Answer Hypertonic The most important intervention to prevent the spread of infection is Correct Answer Cleansing washing Infection control protocols for hemodialysis equipment should include what actions by the caregiver? Correct Answer Using gloves when touching the machine

When fluid replacement is necessary during the hemodialysis treatment, what solutions should be used? Correct Answer 0.9% normal saline During hemodialysis treatment, a patient says to the technician, "three hours of time have passed according to the clock on the wall, but the machine shows that only 2.5 hours have passed. What could be the problem?" Correct Answer Machine was in bypass for 30mins Asepsis Correct Answer The absence of disease producing organisms What are the ttpical signs of fluid overload? Correct Answer Edema and shortness of breath Hyperkalemia can lead to Correct Answer Cardiac arrest How do you prevent air in the bloodlines? Correct Answer Tighten all connections During hemodialysis a patient goes into cardiac arrest. The first action of the dialysis technician should be Correct Answer Call for assistance A patient who is to recieve their first dialysis treatment is prone to? Correct Answer Dialysis disequilibrium syndrome Fluid to be removed divided by the treatment time tells us Correct Answer The Ultrafilitration 12 - 20 breaths per minute Correct Answer Is the normal range of resting repirations in an adult Hives, itching, tightness of the chest and respiratory distress may be signs and symptoms of Correct Answer Anaphylaxis

Pain at the venous needle site, along with respiratory difficulty and chest pain could be an indicator of Correct Answer Sterilant infusion A rapid pluse of 104 beats/minute would indicate that the patient has Correct Answer Tachycardia A marker used to determine the middle molecule clearance of a dialyzer is Correct Answer Vitamin b12 The national standard, based on KDOQI guidelines, for the Urea Reduction Rate is a ratio greater than Correct Answer 65% What lab tests are used to monitor anemia in the ESRD patient? Correct Answer Hemoglobin/hematocrit ESRD specific test such as BUN, CREATININE, and URR are Correct Answer Indicators of the adequacy of the renal replacement therapy The accuracy of the lab results depends on adherence to proper lab draw technique. You must ensure that labs are drawn? Correct Answer At the right time, right site, and right order Albumin is an important test that tells about the patients status Correct Answer Nutritional What is the most accurate measure of dialysis adequacy Correct Answer Kt/v 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 what question? Correct Answer Was the predialysis sample drawn from the venous port? Low albumin levels in the dialysis patient have been linked with Correct Answer Higher hospitalization and death rates Acceptable interdialytic weight gains are Correct Answer 3 - 5% od EDW The usual fluid allowance for a person with kidney failure is Correct Answer 1.0 to 1.5 liters per day Symptoms of hyperkalemia may include Correct Answer Numbness and tingling What might indicate a need to decrease the heparin dose? Correct Answer The patient just had surgery yesterday What might indicate the need to increase heparin? Correct Answer Clotting in the extracorporeal circuit The usual heparin sodium concentration for anticoagulation during hemodialysis is Correct Answer 1,000 u/m Medication that dialyze easily are Correct Answer Gentamycin Tobramycin Vitamin C Mr. Jones suffers from constipation. He goes to the drug store to buy a laxative. Mr. Jones should avoid Correct Answer Milk of magnesia What is the largest needle Correct Answer 18 gauge

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? Correct Answer 2.0 The medication used to improve calcium absorption is Correct Answer Zemplar You have documented incorrectly on a patient's chart. How do you correct this? Correct Answer Draw one line through it, date, time, sign, with the words "error" A teammate asks you to document the normal saline he just gave to mr. Smith you would Correct Answer Never document something that someone else did The dialysis technician's role in patient education is to Correct Answer Reinforce information provided by other teammates Why must water used for dialysate be treated? Correct Answer Because patients are exposed to large volumes of water during dialysis What substances may be added to city drinking water? Correct Answer Alum What does a water softener do for dialysis water? Correct Answer Removes calcium and magnesium What is a limitation of a reverse osmosis (RO) system? Correct Answer Thin film composite membranes break down when exposed to chlorine and chloramines What is the most common way that water treatment systems are disinfected? Correct Answer Using chemicals What type of patient reactions may occur if dialysis water contains bacteria or endotoxin? Correct Answer Pyrogenic