Dialysis Principles and Practices, Exams of Economics

Download Dialysis Principles and Practices and more Exams Economics in PDF only on Docsity! CCHT Practice Exam DAVITA Questions and Answers Latest Update 2024 1. Nephron - Correct Answer the function unit of the kidney, or the structure in the kidney that does the work, is the 2. diabetes - Correct Answer the leading cause of chronic kidney disease for adults in the united states: 3. a glomerulus and a tubule system - Correct Answer a nephron is made up 4. elevated hematocrit - Correct Answer which of the following is not a symptom of uremia 5. 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? 6. 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? 7. removing too much fluids - Correct Answer which of the following is a cause of hypotension during and after dialysis treatments? 8. 154 - Correct Answer the scale says a patient weights 70 kg. this the same as weighting how many points (lb)? 9. 7.35-7.45 - Correct Answer normal body ph is 10.hypertension - Correct Answer one sigh and symptoms of fluids overload is 11.potassium - Correct Answer abnormal levels of this electrolyte can cause cardiac arrhythmias and even death 12.osmosis - Correct Answer water moves across a membrane from an area of lower solute concentration to an area of higher solute concentration by which principle 13.diffusion - Correct Answer waste products are removed during dialysis by which principle 14.ultrafiltration - Correct Answer excess fluid is forced out of the blood and into the dialysis by which principle 15.osmosis - Correct Answer the movement of the fluid from the tissue toward a higher concentration of sodium in the blood is a example of 16.diffusion - Correct Answer decreasing the patient's prescribed blood flow affects the rate of 17.using a bath that will provide a grater concentration gradient - Correct Answer which of the following actions would increase diffusion during dialysis? 18.urea - Correct Answer which of the following diffusion diffuses from the patients blood during dialysis? 19. transmembrane pressure - Correct Answer ultrafiltration is influenced by 20.peritonitis - Correct Answer the most common complication in peritoneal dialysis is 21.hyperglycemia - Correct Answer the dextrose used in the dialysate for peritoneal dialysis can cause 22. immunosuppressive medication - Correct Answer if a patient develops an infection post transplant, the largest contributing factor would most likely be: 23. infection - Correct Answer the most frequent cause of death in the first year post transplant is 24.performance of the dialyzer - Correct Answer total cell volume (TCV) is a indirect measure of the 25.80% - Correct Answer the TCV should be no less than 26.11 hours - Correct Answer the manimum dwell time to achieve sterilization with the chemical renalin is 27. residual sterilant - Correct Answer the reprocessed dialyzer is carefully rinsed prior to patient use to remove 28. inadequate dialyzer priming - Correct Answer germicide rebound occurs due to 29.AAMI - Correct Answer which organization set the standards and recommendations for dialyzer reprocessing? 60.an infiltration - Correct Answer a patient complaints of pain at the venous needle site. the dialysis technician observes there is swelling distal to the venous needle site and that the venous pressure is rising. the dialysis technician should suspect 61.numbness and tingling - Correct Answer all the following may be signs and symptoms of an infection access EXCEPT: 62.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? 63.an arteriovenous fistula - Correct Answer which of these types of vascular access has the fewest complication 64. in time to mature - Correct Answer one disadvantage of a fistula is an increase in 65.poor rotation of sites - Correct Answer one cause of aneurysm and pseudo aneurysm is 66.enlargement of the vein - Correct Answer what is the desired outcome when the patient performs fistula exercise? 67. listening with a stethoscope - Correct Answer the bruit in an AV fistula or graft is detected by 68.2.0 inches apart - Correct Answer when cannulating, the tips of the needles should be at least 69.should point in the direction of the blood flow - Correct Answer the venous needle in an AV fistula 70.may rupture and cause the patient to bleed profusely - Correct Answer a true aneurysm can be dangerous because it 71.an artery to a vein - Correct Answer a fistula connects 72. 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 73.how have you been since your last dialysis treatment? - Correct Answer during predialysis data collection, it would be best for the technician to ask the patient which of these questions? 74.notify the nurse - Correct Answer Mrs. pruitt's temperature is elevated post- hemodialysis treatment. which of these actions should the dialysis technician take? 75.notify the nurse of the need for an assessment - Correct Answer 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? 76.bradycardia - Correct Answer slow pulse of 54 beats/minute would indicate the patient has: 77.clamp the venous line - Correct Answer 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. 78.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 79.hypotension and cramping - Correct Answer which of the following symptoms would indicate a need to increase the estimated dry weight (EDW)? 80. 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? 81. the patient has fluid overload - Correct Answer which of the following is not a possible cause of an increased temperature pre-dialysis? 82.cranberry juice colored blood in the venous line - Correct Answer which of the following is the classic sign of hemolysis 83. 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: 84.hypertonic - Correct Answer solution that have a higher osmolarity than body fluids are called? 85.cleansing of the hands - Correct Answer the most important intervention to prevent the spread of infection is: 86.using gloves when touching the machine - Correct Answer infection control protocol for hemolysis equipment should include which of these actions by the caregiver? 87.0.9% normal saline - Correct Answer when fluid replacement is necessary during the hemodialysis treatment, which of the following solution is used? 88.500 - Correct Answer a patient's dry weigh is 154.0 lb (70 kg) and the patient's pre treatment weight is 158.4 lb (72kg). four-hours treatment, how many ml/hour must the patient lose to reach dry weight? 89.machine was in bypass for 30 minutes - Correct Answer during a 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? the technician should understand that the. 90.clean the machine surface immediately - Correct Answer a dialysis technician observes a drop of blood on the surface of a patient's hemolysis machine. which of these actions should the dialysis technician take? 91. the absence of disease producing organism - Correct Answer asepsis is defined as 92.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 93.edema and shortness of breath - Correct Answer what are the typical signs of fluids overload 94.cardiac arrest - Correct Answer hyperkelemia can lead to 95. tighten all connections - Correct Answer which of the following is used to prevent air in the bloodlines? 96.hypotension - Correct Answer fifteen minutes before the end of a hemodialysis treatment, a patient complains of dizziness and nausea. these symptoms are most likely due to 97. 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? 98.dialysis disequilibrium syndrome - Correct Answer short frequent hemodialysis treatment in patients with high BUN ( blood urea nitrogen ) are performed to prevent 126. clotting in the extracorporeal circuit - Correct Answer which of the following might indicate the need to increase heparin 127. 1,000u/ml - Correct Answer the usual heparin sodium concentration for anticoagulation during hemolysis is 128. intradermally - Correct Answer lidocaine is administered 129. digoxin - Correct Answer medications that dialyze easily are all expect: 130. milk of magnesia - Correct Answer Mr. jones suffers from constipation. he goes to the drug store to buy a laxative. Mr. jones should avoid which medication? 131. 18 gauge - Correct Answer which of the following is the largest needle? 1.0 - Correct Answer your patient is to receive 2000 units of heparin. the vial you are using is 1000u/ml heparin. how many mis will you draw up for this patient? 132. vitamin B 12 - Correct Answer all of the following are phosphate binders expect: 133. epogen - Correct Answer the medication used to treat anemia is 134. zemplar - Correct Answer the medication used to improve calcium absorption is: 135. refers the patient to the social worker - Correct Answer a female dialysis technician has been caring for a male patient for several months. the patient tells the dialysis technician that he is lonely and depressed. he asked the dialysis technician to go out to dinner with him. in addition to politely declining the patient's invitation, which of these actions, if any, should the dialysis technician take? 136. draw one line through it, date, time, signature/credentials, with the works " error" - Correct Answer you have documented incorrectly on a patient's chart. how do you correct this? 137. never document something that someone else did - Correct Answer a teammate asks you to document the normal saline he just gave to Mr.smith you would 138. psychomotor - Correct Answer Mr. jones demonstrates how to wash his access. this is a an example of which adult learning principle 139. reinforce information provided by other teammates - Correct Answer the dialysis technician's role in patient education is to 140. technician - Correct Answer the most important member of the patient care team is the 141. teammate - Correct Answer the most important monitor in the dialysis setting is 142. affective - Correct Answer which learning domain is behavioral based 143. cognitive - Correct Answer which learning domain is knowledge based 144. cognitive - Correct Answer Mr. Roberts verbalizes how to hand crank his blood pump in the event of an emergency. this is an example of which adult principle? 145. describe the activities in the immediate environment - Correct Answer 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? 146. 04/15/2010 - Correct Answer according to the new conditions for coverage, all dialysis technicians are to be certified by a national certifying agency or state specific certification by 147. 6 months - Correct Answer the minimum amount of experience required to take the NNCC certifying exam is 148. its a new federal regulation - Correct Answer a reason why a dialysis technician is to be certified is