Inadequate Heparinization - correct answer The adequacy of a dialysis treatment may be compromised by
Post reinfusion and prior to disconnection -
... [Show More] correct answer Routine post dialysis treatment documentation on the patients dialysis treatment record should include patients blood pressure and temperature both
Chemical content - correct answer Individual acid containers should be labeled with
Notify the RN - correct answer The patient complains of pain at the catheter exit site. What would the PCT do first?
Hemosafe is in place and secure on the arterial line (hemosafe clamp should be secured on the venous line) - correct answer Which of these findings noted on a safety check would indicate that an intervention is needed.
Notify the RN - correct answer The patient presents to the dialysis center with a pulse rate of 44/bpm but doesn't appear to be in distress. What should be the dialysis technicians immediate action?
Assessment for possible clotting in the dialyzer - correct answer Documentation and interpretation of the KECN (clearance effective by conductivity) results can assist the staff member in
Circulation of water during the day only - correct answer Which of the following would minimize bacterial growth in the water treatment system?
Pressure - correct answer A major factor affecting ultrafiltration is
Palpating for a thrill - correct answer Pre-treatment evaluation of an internal vascular access includes
Hypotension - correct answer A patient having a dialysis treatment complains of feeling dizzy, and begins to yawn. These symptoms are most likely to indicate that the patient has
Check the dialysate effluent with a blood leak test indicator - correct answer If a blood leak detector alarms a second time and no visible blood is noted, what should the PCT do next?
Surface area of the dialyzer - correct answer Which has the most impact on dialyzer clearance?
Turn the blood pump off, clamp the venous line. - correct answer The patient exhibits signs of hemolysis. What is the appropriate action to take?
Calcium and magnesium - correct answer Softener tanks remove
Technical must perform a functional test on the machine. - correct answer During dialysis a patient has a cardiac arrest. Which action should be completed on the dialysis machine before the machine is used by another patient?
Low clearance, hold heparin dose - correct answer The following KECN's are noted: the results indicate a
Time KECN. TIME KECN
00:15. 268. 01:45. 243
00:45. 254. 02:15. 240
01:15. 242. 02:45. 238
Either with or against the flow of blood - correct answer The arterial needle is placed
Priming the dialyzer venous end up - correct answer An important factor in achieving adequacy during machine set up is
Ultra Care - correct answer The FMC program that utilizes technology to improve our patient care is
Bicarbonate - correct answer The component of the dialysate that helps treat acidosis is
Check the patient blood pressure - correct answer The PCT notices the patient yawning toward the end of treatment. The PCT should take which action immediately
Presence of endotoxins in the dialysate - correct answer Several patients with normal pre-dialysis temperatures develop sudden chills and a spike in temperature. This situation is most likely caused by
150 ml/min - correct answer What is the correct blood flow rate for priming the dialyzer
Use of a tourniquet is optional when cannulating a new AVF - correct answer What is NOT true when cannulating a new AVF?
Weekly - correct answer If bicarbonate concentrate jugs are used, the frequency for disinfecting jugs is
Aid in fluid removal - correct answer Using the sodium variation module during the dialysis treatment will
To improve nutritional status and ensure compliance with oral intake and reduce the risk of morbidity and mortality - correct answer Oral nutrition supplements are given to FMS in-center dialysis patients who are malnourished while they are at the dialysis facility for what reason?
Elevated potassium levels may cause changes in heart rhythm - correct answer When instructing patients with CKD, who are receiving dialysis, the RN should include the fact that
Sitting blood pressure followed by the standing blood pressure - correct answer One way to establish a patient has orthostatic hypotension is to obtain a patients
Albumin, Hgb, Phosphorous, Adequacy, Catheter Rate - correct answer The QSR is a monthly report detailing quality outcomes as primary or secondary. Primary quality outcomes are those that have the highest impact on patient survival. These include
Clamp the venous line - correct answer Dialysis has been initiated on a patient using a right internal jugular catheter, as the blood pump is turned up to 200 ml/min, foam begins to accumulate in the lines. The patient begins to wheeze, and becomes short of breath. The care givers FIRST action would be to
Disinfect with 1:100 bleach water and rinse with RO water until negative for bleach - correct answer If the bicarbonate jugs have been in storage and are needed for emergency use, what action must be taken prior to use?
Less than 0.10 ppm - correct answer According to FMS policy, the safe level for total chlorine is
Bananas, orange juice, and salt substitute - correct answer What has the highest potassium content
Remote Total Dissolved Solids (TDS) alarms in treatment room - correct answer What notification process would alert the staff of poor water quality during the dialysis treatment
After the completion of the last patient treatment - correct answer Following FMC policy, when should the second hardness test be completed
10 minutes - correct answer According to AAMI standards the required exposure time of water to the carbon filters to effectively remove chlorine and chloramine is
Notify the RN in charge to stop treatment - correct answer If the second GAC (carbon) filter exceeds the acceptable limit for total chlorine, what is the next step?
Hypotension - correct answer Excessive fluid removal during dialysis, combined with the patients taking an anti hypertension medication may result in the patient having
Should be engaged before removing the needle from the patient access - correct answer When removing needles from an internal access the needles safety device
Turn off ultrafiltration rate - correct answer To properly collect a post BUN sample, it is necessary to
Gloves, full face shield or mask and protective eyewear with side shield and fluid resistant gown - correct answer What PPE is required when performing venipuncture?
Solution to conduct an electrical current - correct answer Conductivity is best described as the ability of a (n)
Inspect the dialysate effluent for pink or red tinged color - correct answer The patients blood leak detector alarms. After verifying the blood pump has stopped, what should the PCT do next?
Total Dissolved Solids (TDS) - correct answer What reading on the reverse osmosis (RO) machine indicates the level of water quality?
0.10 ppm - correct answer Which total chlorine reading is UNACCEPTABLE?
The patient does not respond to verbal questioning and vital signs are trending down. - correct answer The PCT observes a patient at the 30 minute safety check. What signs or symptoms will prompt the tech to wake the patient for further evaluation?
Hemolysis - correct answer A patient begins to experience shortness of breath, chest pain, and sudden hypotension, the blood is bright red and translucent. The complication most likely occurring is
The top level of the salt pellets in the brine tank must be maintained above the level of the brine solution in the tank - correct answer What is the correct level for salt in the brine tank?
Examine both patient arms for the presence of an access - correct answer Prior to applying the blood pressure cuff on a new patient, the PCT should
Chlorine and chloramines - correct answer The carbon tank removes
Hazardous materials identification system (HMIS) labels - correct answer Individual bicarbonate containers must be labeled with
Received from the water supplier to make product water for dialysis - correct answer Source water is
Dialyzer primed at 300 ml/min - correct answer What factor is most likely to affect dialysis adequacy
Kink or obstruction after the dialyzer - correct answer If the arterial pressure changes from -200 mmHg to -250 mmHg from the initiation of treatment, what would be a possible cause?
15 minutes - correct answer How long must the reverse osmosis machine (RO) run prior to collecting samples for water testing?
Hemolysis - correct answer Blood pump occlusion and kinked lines would most likely cause which complication during hemodialysis?
1:10 bleach water solution - correct answer What solution should be used to disinfect a large blood spill area (greater than 10 mLs)
- correct answer Which letters in the acronym COLT [Show Less]