NURSING Dialysis Questions and Answers Updated 2026

NURSING Dialysis Questions and
Answers Updated 2026
WhoMfirstMdescribedMDialysis?M-MAnswerMThomasMGrahamMinM1854



WhoMfirstMdescribedMrenalMfailure?M-MAnswerMRichardMbright



WhoMwasMtheMfirstMMDMtoMperformMHD(hemodialysis)MonMaMpatient?M-
MAnswerMGeorgeMHaasM1924



WhoMisMconsideredMtheMfatherMofMdialysis?M-MAnswerMWillemMKollf



WhyMisMWillemMKollfMconsideredMtheMfatherMofMdialysis?M-
MAnswerMHeMisMresponsibleMforMtheMfirstMartificialMdialyzerMandMblueMprintMforMtheMf
irstMDialysisMmachine



WhatMregulatoryMfunctionMdoesMtheMkidneysMserveMinMtheMbody?M-
MAnswerMTheMkidneysMregulateMfluidMbalance,MelectrolyteMbalance,MandMAcid/BaseMbala
nce



WhatMhormonalMfunctionMdoMtheMkidneysMserve?M-MAnswerM-
RBCMproduction(erythropoietin)

-BloodMpressureM(renin/prostoglandins/bradykinin)

-VitaminMDMactivation



WhatMisMChronicMKidneyMDisease(CKD)?M-
MAnswerMChronicMkidneyMdiseaseMisManythingMthatMdamagesMtheMkidneysMoverMaMperi
odMofMtime.



DoesMCKDMrequireMdialysis?M-
MAnswerMNo,MtheMkidneysMareMdamagedMbutMstillMfunction.



WhatMwillMmostMpatientsMwithMCKDMeventuallyMleadMto?M-
MAnswerMEndMStageMRenalMDiseaseM(ESRD)

,WhatMisMESRD?M-
MAnswerMThisMisMwhenMtheMkidneysMdoMnotMfunctionMwellMenoughMtoMsustainMlife.



WhatMneedsMtoMhappenMforMsomeoneMwithMESRDMtoMsustainMlife?M-
MAnswerMTheMpersonMneedsMaMKidneyMTransplantMorMDialysisMtoMsustainMlife.



WhatMareMsomeMcausesMofMCKDMandMESRD?M-MAnswerM-MDiabetes

-MHighMBloodMPressure

-MNephritis

-MMedications(nephrotoxic)

-MInjuries

-MPKD(polycysticMkidneyMdisease)



WhatMareMsomeMgoalsMofMhemodialysis?M-MAnswerM-
RemoveMexcessMfluidMfromMtheMblood

-balanceMbloodMelectrolytes

-ridMtheMbodyMofMunwantedMwaste



HowMisMhemodialysisMachieved?M-
MAnswerMItMusesMaMsemipermeableMmembrane,Mdiffusion,Mosmosis,MultrafiltrationMandM
convectionMtoMcleanMtheMblood.



HowMdoMweMknowMaMpatientMisMreadyMforMdialysis?M-
MAnswerMTheMMDMwillMatMtheMGFRMlessMthanM15MrequireMdialysis



CanMaMpatientMgoingMthroughMAcuteMRenalMFailure(ARF)MgoMthroughMdialysis?M-
MAnswerMYes,MtoMregainMfunction.



HowMdoMweMknowMifManMARFMpatientMisMregainingMfunction?M-
MAnswerMTheMMDMwillMlookMatMtheMelectrolytes,MGFRMandMcreatinineMtoMdetermineMi
fMtheMpatientMisMstableMenough.M(notMinMourMscopeMofMpracticeMbutMgoodMtoMknow)



In-MCenterMHemodialysisM-MAnswerMImMguessingMthisMaMwalk-inMdialysisMplace

,HowMmanyMtimesMdoesMaMpatientMcomeMinMforMtreatmentMatMaMdialysisMcenter?M-
MAnswerM3MtimesMaMweekMforM3-4Mhours



WhatMmustMtheMpatientMhaveMinMorderMtoMreviveMdialysis?M-
MAnswerMMustMhaveManMaccessMpointMforMdialysisMsuchMasMaMAVMfistula,MGraft,MorM
CentralMVenousMCatheter(CVC).



WhatMhappensMduringMdialysis?M-
MAnswerMAMpatientMisMhookedMupMtoMaMHemodialysisMmachineMthatMcirculatesMblood
MthroughManMartificialMkidney(dialyzer)



WhatMmedicationsMdoesMaMpatientMreceiveMwhileMatMtheMcenter?M-
MAnswerMReceivesMmedicationMforMhormonesMnoMlongerMsecreted.



WhatMwouldMaMpatientMreceiveMduringMdialysisMtoMpreventMclots?M-
MAnswerMHeparinMbeforeMandMmaybeMduring.



HowMdoMweMknowMwhatMlevelsMtoMrunMtheMdialysisMmachineMat?M-
MAnswerMLabsMareMmonitoredMtoMadjustMdoseMofMdialysisMandMhormoneMmedication.



WhoMareMtheMdialysisMpatientsMableMtoMtalkMtoMwhileMatMtheMcenter?M-
MAnswerMDieticianMandMSocialMworkerMeachMtreatment.



HowMmanyMtimesMdoesMtheMpatientMseeMtheMNP?M-MAnswerMWeekly



HowMmanyMtimesMdoesMtheMpatientMseeMtheMMD?M-MAnswerMMonthly



In-PatientMDialysisM-MAnswerMatMhospital



WhoMmayMrequireMemergencyMdialysisMwhenMtheyMcomeMintoMtheMhospital?M-
MAnswerMAMpatientMwithMARF/AKIMmayMrequireMemergencyMdialysis.



WhatMareM2MthingsMthatMmayMrequireMdialysisMforMaMpatientMinMtheMhospital?M-
MAnswerM-CrushingMinjuries(potassiumMisMtoMhigh)

-OverMdoses-MsubstanceMmustMdialyzable(lithium/MsalicylicMacid)

, WhatMhappensMifMaMpatientMisMnon-compliantMwithMoutMpatientMdialysis?M-
MAnswerMTheyMmayMgoMInMpatientMforMtreatmentMbecauseMofMfluidMover-load



WhoMareMsomeMpeopleMthatMmayMrequireMin-patientMdialysis?M-MAnswerM-
PatientsMwithMotherMco-morbity

-MMayMrunMshorterMmoreMfrequentMtreatments(2hoursMaMdayMtoMpullMmoreMfluidMoff)

-MPatientMisMunstableMandMrequiresM1:1Mcare

-SomeMnotMdiagnosedMwithMESRD

-MPatientMreceivingMfirstMdialysisMtreatment



WhatMdoesMtheMdialysisMmachineMdeliverMtoMtheMpatient?M-
MAnswerMDeliversMDialysateMandMDialysisMqualityMwater



WhatMdoesMtheMdialysisMmachineMmonitor?M-MAnswerM-B/P

-MonitorsMhighMandMlowMpressuresMrelatedMtoMbloodMflowMfromMtheMdialysisMaccess



WhatMmedicationMdoesMtheMmachineMdeliverMwhileMtheMpatientMisMreceivingMdialysis?M
-MAnswerMHeparinMtoMpreventMclotting



WhatMinformationMdoesMtheMmachineMcollect?M-
MAnswerMCollectsMdataMduringMHDMtreatmentMtoMbeMusedMtoMcalculateMtheMHDMpres
criptionMforMtheMpatient



DialysisMaccessM-MAnswerMfistula,Mgraft,Mcvc



WhatMareMsomeMadvantagesMtoMaMArteryMVenousMFistula(AVF)M-MAnswerM-
MpatientsMownMarteryMandMveinMareMused

-MlessMriskMforMinfection

-MlessMchanceMofMclotting

-canMlastMforMmanyMyears



WhatMsizeMneedlesMareMusuallyMusedMduringMdialysis?M-
MAnswerMNeedlesMrangeMfromM17MgaugeMtoM14MgaugeMneedles