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University 2025 with correct and verified
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annually - correct answers AAMI Chemical Analysis of water used for hemodialysis is tested Clean the machine surface immediately - correct answers 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? About one ounce (30 ml) fluid is on the floor - correct answers A dialysis technician observes all of the below on the treatment floor, which one poses an environment risk? An artery to a vein - correct answers A fistula connects Vitamin B12 - correct answers A marker used to determine the middle molecule clearance of a dialyzer is Cations and anions - correct answers A mixed- bed DI tank contains A glomerulus and a tubule system - correct answers A nephron is made up of
University 2025 with correct and verified
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An infiltration - correct answers 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 Dialysis Disequilibrium Syndrome - correct answers A patient who is to receive their first dialysis treatment is prone to? bananas - correct answers A patient tells the technician that the dietician reviewed high potassium foods with her. During the conversation she states she routinely eats the following foods. Which one is highest in potassium? It's a new Federal regulation - correct answers A reason why a dialysis technician is to be certified is Clotting of extracorporeal circuit - correct answers A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is indicative of Never document something that someone else did - correct answers A teammate asks you to document the normal saline he just gave to Mr. Smith. You would: May rupture and cause the patient to bleed profusely - correct answers A true aneurysm can be dangerous because it
University 2025 with correct and verified
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Nutritional - correct answers Albumin is an important test that tells about the patient's Vitamin B12 - correct answers All of the following are phosphate binders except: numbness and tingling - correct answers All of the following may be signs and symptoms of an infected access except: The absence of disease producing organisms - correct answers Asepsis is defined as 1,385 mL/hr - correct answers Based on Mrs Smith's total amount of fluid to be removed, what is the ultrafiltration rate per hour (mL/hr) for her 4 hour treatment? Discard the needle - correct answers Before a hemodialysis treatment, the technician removes the cap from the fistula needle and accidentally touches the chair with the tip of the needle. Which of these actions should the technician take first? Hemolysis - correct answers Dialysate that is too hot will cause Weight at which the patient has no edema or fluid in the lungs and BP is normal - correct answers Dry weight is defined as the
University 2025 with correct and verified
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Disconnection of the bloodline - correct answers During a hemodialysis treatment the technician responds to a low venous pressure alarm. The most likely cause for this alarm is: Blood - correct answers Biohazardous waste includes any material exposed to: Diffusion - correct answers Decreasing the patient's prescribed blood flow rate affects the rate of Stop the pump - correct answers During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions should the dialysis technician take first? Between 7.0 and 7.4 - correct answers Dialysate pH should be: Clamp the venous line - correct answers During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the venous drop chamber. The immediate action of the dialysis technician should be to: How have you been since your last dialysis treatment? - correct answers During predialysis data collection, it would be best for the technician to ask the patient which of these questions?
University 2025 with correct and verified
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Anaphylaxis (severe allergic reaction) - correct answers Hives, itching, tightness of the chest and respiratory distress may be signs and symptoms of: Cardiac arrest - correct answers Hyperkalemia can lead to Hemoglobin - correct answers If the extracorporeal circuit clots and it must be discarded, it would be most important to monitor the patient's serum level of: Check dialyzer for total cell volume - correct answers In reuse, the blood path integrity is tested to Subcutaneous - correct answers Lidocaine is administered Higher hospitalization and death rates - correct answers Low albumin levels in the dialysis patient have been linked with: Digoxin - correct answers Medications that dialyze easily are all except Psychomotor - correct answers Mr. Jones demonstrates how to wash his aces. This is an example of which adult learning principle?
University 2025 with correct and verified
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Milk of Magnesia - correct answers Mr. Jones suffers from constipation. He goes to the drug store to buy a laxative. Mr Jones should avoid which medication? Cognitive - correct answers Mr. Roberts verbalized how to hand crank his blood pump in the event of an emergency. This is an example of which adult principle? Notify the nurse of the need for an assessment - correct answers Mrs. Smith arrives for dialysis treatment complaining of shortness of breath. Her pre dialysis weight is 4. 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? 5,540 mL - correct answers Mrs Smith dry weight is 62 kg. Her pretreatment weight when she came in for treatment on Monday was 67 kg. The priming saline amount is 240 mL, the rinseback amount is 200mL, 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? Trendelenburg position on left side - correct answers 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: Air - correct answers One reason that normal saline is used to rinse and prime the extracorporeal circuit prior to treatment is to remove:
University 2025 with correct and verified
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Before treatment, after treatment, and after giving heparin - correct answers The accuracy of lab results depends on adherence to proper lab draw technique. You must ensure that labs are drawn: Dialysis Disequilibrium Syndrome - correct answers Short frequent hemodialysis treatments in patient's with high BUN (blood Urea Nitrogen) are performed to prevent: An infection - correct answers Prior cannulation a technician notices the skin over the patient's fistula is reddened and warm to touch. These symptoms are most likely due to: Epogen - correct answers A medication used to treat anemia is Teammate - correct answers The most important monitor in the dialysis setting is: Infection - correct answers The most frequent cause of death in the first year post transplant is: 12 - 20 breaths per min - correct answers The normal range of resting respirations in an adult is Diabetes - correct answers The leading cause of chronic kidney disease for adults in the United States:
University 2025 with correct and verified
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24 hours - correct answers The minimum dwell time to achieve sterilization with the chemical Renalin is Cleansing of the hands - correct answers The most important intervention to prevent the spread of infection is Osmosis - correct answers The movement of fluid from the tissue towards a higher concentration of sodium in the blood is an example of Nephron - correct answers The functional unit of the kidney, or the structure in the kidney that does the work, is the Listening with a stethoscope - correct answers The bruit in a Av fistula or graft is detected by Temperature and transmembrane pressure - correct answers The hemodialysis machine continuously monitors many parameters. Which of these parameters must be verified by an external measuring device? 65% - correct answers The National standard, based on the KDOQI (kidney Disease Outcomes Quality Initiative) guidelines, for the Urea Reduction Rate (URR) is a ratio greater than:
University 2025 with correct and verified
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Increase the rate of waste removal - correct answers The purpose of using counter- current flow is to Osmosis - correct answers Water moves across a membrane from an area of lower solute concentration to an area of higher solute concentration by which principle Operates on the principle of ion exchange - correct answers The water softener 80% - correct answers The TCV should be no less than Edema and shortness of breath - correct answers What are the typical signs of fluid overload A thrill - correct answers To determine the latency of an arteriovenous vascular access, the dialysis technician should initially feel for the presence of Transmembrane pressure - correct answers Ultrafiltration is influenced by Diffusion - correct answers Waste products are removed during dialysis by which principle
University 2025 with correct and verified
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Calcium and magnesium - correct answers The water softener removes Residual Sterilant - correct answers The reprocessed dialyzer is carefully rinsed prior to patient use to remove Endotoxin - correct answers The part of the cell wall of bacteria that, when released, can cause fever in hemodialysis patient's is: Should point in the direction of the blood flow - correct answers The venous needle in an AV fistula Transmembrane pressure - correct answers The total pressure that exists across the dialyzer membrane is called Aluminum - correct answers The substance that may be added to the municipal drinking water to make it clearer is: Kt/V - correct answers Which of the following is the most accurate measure of dialysis adequacy?
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Removing too much fluid - correct answers Which of the following is a cause of hypotension during and after dialysis treatments? Dialysis quality water - correct answers Which of the following is considered to be safe water for dialysis? 18 gauge - correct answers Which of the following is the largest needle? Using a bath that will provide a greater concentration gradient - correct answers Which of the following actions would increase diffusion during dialysis? Urea - correct answers Which of the following diffuses from the patient's blood during dialysis? Handwashing - correct answers What is the most important activity that the dialysis technician can perform to prevent the spread of infectious disease in the dialysis clinic? 2.0 inches apart - correct answers When cannulating. The tips of the needles should be at least Hypotension and cramping - correct answers Which of the following symptoms would indicate a need to increase the estimated dry weight (EDW)?
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2.0 - correct answers Your patient is to receive 2000 units of heparin. The vial you are using is 1000 u/ml heparin. How many mls will you draw up for this patient? An arteriovenous fistula - correct answers Which of these types of vascular accesses has the fewest complications? Tighten all connections - correct answers Which of the following is used to prevent air in the bloodlines? AAMI - correct answers Which organization set the standards and recommendations for dialyzer reprocessing? Venous needle is against the wall of the vessel - correct answers Which of the following would cause a high venous pressure alarm? Clotting in the extracorporeal circuit - correct answers Which of the following might indicate a need to increase heparin? The patient just had surgery yesterday - correct answers Which of the following might indicate a need to decrease the heparin dose?
University 2025 with correct and verified
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14 days - correct answers What is a reused dialyzer shelf life? 80% - correct answers What is a reuse dialyzer (TCV) percentage Association for the Advancement of Medical Instrumentation - correct answers What does AAMI stand for? Bicarbonate - correct answers The base used to maintain an acceptable dialysate pH(acid/base balance). A buffer Blood urea nitrogen, the end product of protein metabolism - correct answers What is BUN? A ballooning of the AV fistula, sometimes caused by improper rotation of needle sites - correct answers What is a aneurysm? dysrhythmia - correct answers An irregular heart beat Dyspnea - correct answers Difficulty breathing
University 2025 with correct and verified
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Edema - correct answers Abnormal accumulation of fluid in the body tissues causing swelling. Fluid accumulated in the interstitial space A medication (synthetic erythropoietin) used to stimulate production of red blood cells
- correct answers What is Epogen given for? The circuit "outside body" that carries blood from the patient through dialyzer and back to the patient. The dialyzer and blood lines make up the circuit - correct answers What is extracorporeal circuit? The process of passing fluid through a filter or semipermeable membrane. - correct answers What is filtration? A tuft of capillaries in the nephron that act as filters to remove waste products, fluid and excess electrolytes from the blood as it passes through the kidney. - correct answers What is glomerulus? Hematocrit (HCT) - correct answers The measurement of the percentage of red blood cells in a sample of whole blood. This measure is affected by vascular volume. Hematoma - correct answers A localized mass of clotted or partially clotted blood confined within an organ or tissue, which may be discolored (bruised).
