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While technical staff are preforming duties in the dialysis unit which team member must always be present A. Registered nurse B. Medical director for unit C. Lab technician - Exact Answer A. Registered nurse Two techs are heatedly discussing pt care situation. Which team member is responsible for disciplinary action A. Registered practical nurse B. Human resource manager C. Dialysis nurse manager - Exact Answer C. Dialysis nurse manager Which credentialing agency for dialysis includes items such as water treatment and dialysate preparation and complication of dialysis as part of their practice domains
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A. Board of nephrology examiners nursing in technology B. Nephrology nursing certification commission C. National nephrology certification organization - Exact Answer C. NNCO Prior to starting dialysis what must the technician and or nurse verify A. That patient has provided informed written consent for dialysis B. That the patient has not eaten any food or beverages for the last six hours C. That the patient has a driver to pick him up after dialysis - Exact Answer A. Consent Which external agencies provide additional guidelines and standards in the areas of infectious disease testing immunizations dialysis treatment safety and infection control?
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Which organization recently approved by CMS to be an independent organization allowed to conduct surveys for Medicare certification fostering faster approval for dialysis clinics A. National kidney foundation B. Medicare bundle dialysis prospective payment system C. National dialysis accreditation commission - Exact Answer C. NDAC What is the composition of saline A. 10% salt added to water B. Albumin C. 0.9g of sodium chloride and 100ml of water - Exact Answer C. 0.9g of sodium and 100ml of h2o
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When caring for a patient if the dialysate solution contains two little sodium the water may shift into the patient's blood cells which signs or symptoms would you see A. Hypotension B. Cramping C. Thirst D. Headache - Exact Answer A and B Which buffer is the major plasma buffer therefor important during dialysis A. Bicarbonate B. Amino acid C. Protein - Exact Answer A. Bicarbonate
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B. Regulate pH in blood C. produce erythropoietin that controls red blood cell production D. I receptor sites for several hormones - Exact Answer All of the above A patient with a renal failure asks if his candies will regenerate how does the technician Exact Answer A. With a diet low in sodium and exercise there's a good chance you'll get some function back B. If nephrons are damaged they do no regenerate C. If the heart can pump in a blood to the kidney there is a possibility that some of the nephrons can regenerate - Exact Answer B. If nephrons are damaged they won't regenerate This patient's kidneys have permanently lost most of their ability to remove waste and maintain fluid in chemical balance what's the patient's likely estimated glomerular filtration rate
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A. Less than 15 ml/min/ B. 60-89 ml/min/1. C. 30-44 ml/min - Exact Answer A. Less than 15 The patient asks the dialysis technician if there's anything she can do to slow the progression of her kidney disease. Which risk factor could the technician mention during the conversation A. Control your blood glucose levels if you're a diabetic B. Maintain healthy weight C. Control cholesterol levels D. Stop use of alcohol - Exact Answer A B and C Which recommendation would've nephrologist likely make for a patient who has read stages three or four chronic kidney disease A. We'll tele health visits discussing daily urine output
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Patient with chronic kidney disease asks what her goal hemoglobin level should be what level as recommended by the national kidney foundation kidney disease guidelines A. 9% B. 7% C. 11% - Exact Answer B.7% Patient with chronic kidney disease arrives at the center after his nephrology visit he relays to the staff that the doctor said he was hardening of the kidneys what is the cause of this condition A. Prolonged severe hypertension B. Daily ingestion of sugar sweetened drinks C. High fat diet D. Too much calcium in the diet along with hypertension - Exact Answer A.
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What is one cause of postrenal failure A. Renal trauma B. Prostrate disease C. Fluid volume shifts D. Kidney infections - Exact Answer B. Prostate disease The family member of a dialysis technician has noted blood in his urine the tech also noted the weight loss and rubbing of the flank to ease the cramping pain which disease comes to mind A. Nephrotic syndrome B. Bladder infection C. Kidney stones D. Renal carcinoma - Exact Answer D. Renal carcinoma
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Management of renal bone disease requires that ministration of which type of medication with every meal and snack A. Potassium and substitutes B. Antacids C. Phosphate binders - Exact Answer C. Phosphate binders Patients with chronic kidney disease are at risk for developing peripheral neuropathy. How may neuropathy present in the patient A. Intolerance to touch B. Burning feet C. Restless legs - Exact Answer B and C What are some disadvantages of using hollow-fibers dialyzers A. They're not compliant
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B. They require meticulous care to remove air or gas from the fiber bundle C. Blood distribution may be uneven at inflow header space D. Higher heparin doses may be needed to prevent clotting in hollow fibers - Exact Answer B C and D If a patient is experiencing adverse reactions from the residual toxic products of ethylene oxide sterilization of the hollow fibers what other ways can you sterilize it. A. Gamma radiation B. Pure alcohol flushing C. Electron beam - Exact Answer A and C Which manifestation would lead to the tech to suspect the patient is experiencing intradialytic complement
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C. Microbial count - Exact Answer B. Microbial count How is the temp of the dialysate controlled A. By using one or more sensors and a micro controller circuit on the heater B. By checking accuracy regularly with a certified glass thermometer C. By using a separate center with visual and audible alarms for any out of limit state - Exact Answer All of the above What can cause a "false" blood leak alarm A. Particulate matter and air bubbles in the dialyzer B. Reduction in the light received by a photo cell C. Change in translucency - Exact Answer A. Particular matter What are the system requirements for high flux dialysis
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A. Reliable blood flow rate at at least 200 B. Hi dialysate flow rate C. Precise control of ultrafiltration volume D. Use of synthetic membrane filters - Exact Answer B C and D Which factors affect removal of toxins in dialysis A. The higher the temperature of dialysate the greater the removal of solute B. The slower the dialysate flow the greater removal of solute's C. The slower the blood flow rate the greater removal of solute D. The more permeable the membrane the greater removal of solutes - Exact Answer A and D To accomplish saw you removal and dialysis what is needed A. Mass transfer
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Which water contaminants may cause methemoglobinemia in which red cell hemoglobin cannot transport oxygen A. Fluoride and Tin B. Nitrates and chloramines C. Zinc and aluminum - Exact Answer B. Nitrates and chloramine What is the process utilized when two carbon tanks are used to remove chlorine and chloramine from tank water A. Adsorption B. Absorption C. Diffusion - Exact Answer A. Adsorption What type of contaminants are removed from water used in dialysis A. Endotoxins
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B. Aqueous salts C. Water softeners - Exact Answer A and B When preparing for reverse osmosis what type of membranes should the tech be prepared to utilize A. Peritoneum B. Cellulose acetate C. Thin film composites D. Chlorine resistant polysulfone - Exact Answer B C and D Which problems may occur when using a deionizer A. It can be hard initially to obtain the maximum flow rate needed B. The service life of a deionizer may be short and essential that the filters be placed downstream
