FRESENIUS EXAM
FRESENIUS EXAM QUESTIONS WITH
COMPLETE SOLUTIONS.
What bleach solution must all surfaces be cleaned with? 1:100
What bleach solution is used to disinfect large blood spills? answer >>>
1:10
What is aseptic technique? answer >>> A set of practices and
procedures performed under carefully controlled conditions with the
goal of minimizing contamination by pathogens.
List three blood borne pathogens that may be found in a dialysis unit?
answer >>> Hip B, Hip C & HIV
What is an exposure incident? answer >>> A blood/body fluid splash or
spray occurring to the eyes, nose or mouth or to non-intact skin. A
contaminated sharps injury is also considered an exposure incident.
,FRESENIUS EXAM
What steps should you take during an exposure incident? answer >>>
1. Wash/rinse the area
2. Report incident to the clinical manager or charge nurse (if CM not
present)
3. Seek medical treatment w/in 1-2 hrs. (exposure TX and counseling)
4.OSHA documentation and workman's comp documentation as applies
Why are Hip B patients dialyzed in isolation rooms? answer >>> -Hip B
is extremely contagious
-It can live outside the body for up to 7 days
Why are Hip C patients dialyzed in the clinic area and not in isolation?
answer >>> -Hip C is not as contagious as Hip B
-It does not survive very long on the outside of the body
What blood test indicates infection with Hip B? answer >>> Haig is the
test for the Hip B antigen. This indicates actual viral presence.
Which blood test indicates the presence of immunity against Hip B?
answer >>> Hashab is the test for the antibodies. It indicates the
presence of immunity against Hepatitis B.
, FRESENIUS EXAM
Which vaccine provides long-term immunity to Hip B? answer >>>
Multiple injections of either Recombivax or Egeria vaccine. They help
produce Hip B antibodies
How is TB spread? answer >>> Airborne droplets from infected
individuals
How do you prevent TB in the clinic? answer >>> Active TB patients
cannot dialyze in clinics. Pt must have 3 consecutive negative sputum
cultures before the can return dialyzing in clinic.
What are VRE & MRSA? answer >>> VRE: a group of gram-negative
bacteria that live in the intestinal tract that can cause infection
anywhere in the body. They are resistant to several antibiotics. VRE can
survive outside of the body on surfaces for as long as seven days.
MRSA: different varieties staph bacteria. They are normally found on
the skin or in the nose of about 1/3 of people. When a person is
infected they are resistant to antibiotics commonly used to treat
ordinary staph infections. MRSA can survive outside the body for as
long as 7 days.
What precautions do you take while caring for a MRSA/VRE patient?
answer >>> They do not need isolation but should be seated in the
same area as others infected. Proper designated PPE should be worn
specifically for those patients. HANDWASHING only 40-60 seconds.
They need to have their own bop cuff, stethoscope, tourniquet etc.
FRESENIUS EXAM QUESTIONS WITH
COMPLETE SOLUTIONS.
What bleach solution must all surfaces be cleaned with? 1:100
What bleach solution is used to disinfect large blood spills? answer >>>
1:10
What is aseptic technique? answer >>> A set of practices and
procedures performed under carefully controlled conditions with the
goal of minimizing contamination by pathogens.
List three blood borne pathogens that may be found in a dialysis unit?
answer >>> Hip B, Hip C & HIV
What is an exposure incident? answer >>> A blood/body fluid splash or
spray occurring to the eyes, nose or mouth or to non-intact skin. A
contaminated sharps injury is also considered an exposure incident.
,FRESENIUS EXAM
What steps should you take during an exposure incident? answer >>>
1. Wash/rinse the area
2. Report incident to the clinical manager or charge nurse (if CM not
present)
3. Seek medical treatment w/in 1-2 hrs. (exposure TX and counseling)
4.OSHA documentation and workman's comp documentation as applies
Why are Hip B patients dialyzed in isolation rooms? answer >>> -Hip B
is extremely contagious
-It can live outside the body for up to 7 days
Why are Hip C patients dialyzed in the clinic area and not in isolation?
answer >>> -Hip C is not as contagious as Hip B
-It does not survive very long on the outside of the body
What blood test indicates infection with Hip B? answer >>> Haig is the
test for the Hip B antigen. This indicates actual viral presence.
Which blood test indicates the presence of immunity against Hip B?
answer >>> Hashab is the test for the antibodies. It indicates the
presence of immunity against Hepatitis B.
, FRESENIUS EXAM
Which vaccine provides long-term immunity to Hip B? answer >>>
Multiple injections of either Recombivax or Egeria vaccine. They help
produce Hip B antibodies
How is TB spread? answer >>> Airborne droplets from infected
individuals
How do you prevent TB in the clinic? answer >>> Active TB patients
cannot dialyze in clinics. Pt must have 3 consecutive negative sputum
cultures before the can return dialyzing in clinic.
What are VRE & MRSA? answer >>> VRE: a group of gram-negative
bacteria that live in the intestinal tract that can cause infection
anywhere in the body. They are resistant to several antibiotics. VRE can
survive outside of the body on surfaces for as long as seven days.
MRSA: different varieties staph bacteria. They are normally found on
the skin or in the nose of about 1/3 of people. When a person is
infected they are resistant to antibiotics commonly used to treat
ordinary staph infections. MRSA can survive outside the body for as
long as 7 days.
What precautions do you take while caring for a MRSA/VRE patient?
answer >>> They do not need isolation but should be seated in the
same area as others infected. Proper designated PPE should be worn
specifically for those patients. HANDWASHING only 40-60 seconds.
They need to have their own bop cuff, stethoscope, tourniquet etc.
