AAMI Chemical Analysis of water used for hemodialysis is tested:
annually
monthly
semi-annually
quarterly
annually
A 58-year old
... [Show More] 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?
Avoid using phrases that refer to sight, such as "It looks like..."
Describe the activities in the immediate environment
Give instructions to his wife instead of him
Touch the patient before speaking to him
Describe the activities in the immediate environment
A dialysis technician observes a drop of blood on the surface of a patient's hemodialysis machine. Which of these actions should the dialysis technician take?
Clean the machine surface at the end of treatment
Clean the machine surface immediately
Notify the equipment technician
Notify the nurse
Clean the machine surface immediately
A dialysis technician observes all of the below on the treatment floor, which one poses an environmental risk?
About one ounce (30ml) fluid is on the floor
A patient's family member is present during initiation of treatment
Charts are lying on bedside tables
The wheels of the hemodialysis machine are locked
About one ounce (30ml) fluid is on the floor
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 asks 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?
No further action is needed
Recommend an over-the-counter mood stimulant, such as St. John's Wort
Refer the patient to the social worker
Share the patient's need for socialization with other patients
Refer the patient to the social worker
A marker used to determine the middle molecule clearance of a dialyzer is:
creatinine.
nitrogen.
urea.
vitamin B12.
vitamin B12.
A fistula connects:
a vein to a vein.
an artery and a vein to synthetic material.
an artery to an artery.
an artery to a vein.
an artery to a vein.
A nephron is made up of:
A glomerulus and a tubule system
The bladder and the ureters
The cortex and a capsule
The loop of Henle and the capillary ball
A glomerulus and a tubule system
A patient complains 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:
a pseudoaneurysm.
an Infiltration.
recirculation.
stenosis.
an Infiltration.
A patient who is to receive their first dialysis treatment is prone to?
Crenation
Dialysis disequilibrium syndrome
First use syndrome
Steal syndrome
Dialysis disequilibrium syndrome
A patient tells the technician that the dietitian reviewed high-potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium?
Bananas
Ice Cream
Pasta
Rice
Bananas
A slow pulse of 54 beats/minute would indicate the patient has:
A normal rate
An arrhythmia
Bradycardia
Tachycardia
Bradycardia
A teammate asks you to document the normal saline he just gave to Mr. Smith. You would:
ask what time he gave it and document it with his signature
ask what time he gave it and document it with his signature, as a late entry
ask what time he gave it and document that you gave it
never document something that someone else did
never document something that someone else did
A true aneurysm can be dangerous because it:
can result in hypertension.
may cause the patient to have pain in the fingers.
may cause the access to clot.
may rupture and cause the patient to bleed profusely.
may rupture and cause the patient to bleed profusely.
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 which of these questions.
Was the machine in bypass during the post sampling?
Was the patient's heparin pump turned off when the post sample was drawn?
Was the post dialysis sample drawn correctly?
Was the port used for predialysis sampling cleaned with disinfectant?
Was the post dialysis sample drawn correctly?
A rapid pulse of 104 beats/minute would indicate that the patient has:
an arrhythmia
atrial flutter
bradycardia
tachycardia
tachycardia
A patient's target weight is 154.0 lb (70 kg) and the patient's pre treatment weight is 158.4 lb (72 kg). For a four-hour treatment, how many mL/hour must the patient lose to reach dry weight?
250
500
750
1000
500
AAMI standard for conventional dialysate requires the total microbial count be less than:
100 CFU/mL
200 CFU/mL
300 CFU/mL
400 CFU/mL
100 CFU/mL
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death.
Potassium
Sodium
Bicarbonate
Chloride
Bicarbonate
Asepsis is defined as:
an access infection.
a bloodstream infection.
a reduction in the number of organisms.
the absence of disease producing organisms.
the absence of disease producing organisms.
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:
machine requires immediate service.
machine was in bypass for 30 minutes.
patient has reached their target weight.
patient's target weight has decreased.
machine was in bypass for 30 minutes.
During hemodialysis a patient goes into cardiac arrest. The first action for the dialysis technician is:
Apply a pericardial thump to the patient
Call for assistance
Return the patient's blood
Stop ultrafiltration
Call for assistance
During the hemodialysis treatment, a patient complains of feeling chilled. In addition to getting the patient a blanket, which of these actions should the technician take?
Decrease the blood flow rate
Increase the bicarbonate concentration in the dialysate
Put the patient in Trendelenburg
Take the patient's temperature
Take the patient's temperature
One disadvantage of a fistula is an increase in:
clotting.
biocompatibility.
infections.
time to mature.
time to mature.
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 ask you to give Sam fluid during treatment
The nurse will ask you to remove no fluid during treatment
The nurse will get an order to decrease the TW
The nurse will get an order to increase the TW
The nurse will get an order to decrease the TW
The normal range of resting respirations in an adult is:
12 - 20 breaths per minute
20 - 30 breaths per minute
30 - 40 breaths per minute
40 - 50 breaths per minute
12 - 20 breaths per minute
The dextrose used in the Dialysate for peritoneal dialysis can cause:
hyperclacemia
hyperglycemia
hypocalcemia
hypoglycemia
hyperglycemia
The leading cause of chronic kidney disease for adults in the United States:
Diabetes
Glomerulonephritis
Hypertension
Urinary obstruction
Diabetes
The dialysis technician's role in patient education is to:
Assess patient's barriers to learning
Determine patient's level of readiness to learn
Educate patients on all aspects of their care
Reinforce educational information provided
Reinforce educational information provided
The most important intervention to prevent the spread of infection is:
Performing hand hygiene
Disinfecting surfaces
Immunizing patients and staff
Using personal protective equipment
Performing hand hygiene
The movement of fluid from the tissues toward a higher concentration of sodium in the blood is an example of:
Diffusion.
Filtration.
Osmosis.
Ultrafiltration.
Osmosis.
A decrease in transmembrane pressure in a high flux dialyzer during hemodialysis is indicative of:
Venous needle malposition
Excessive ultrafiltration
Clotting of the extracorporeal circuit
Nothing- this is normal for high flux
Clotting of the extracorporeal circuit
You have documented incorrectly on a patient's chart. How do you correct this?
circle it, initial, write correct information above entry
white out entry, write correct information, initial
draw line through wrong entry, write error, initial/date entry
circle wrong entry, writer error, initial/date entry
draw line through wrong entry, write error, initial/date entry
Which of these technician activities contributes to data collection used to measure quality outcomes?
Attending educational programs
Ensuring accurate documentation
Maintaining professional boundaries
Participating in staff meetings
Ensuring accurate documentation [Show Less]