WITH COMPLETE EXAM QUESTIONS
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Why must you wait 3-5 minutes after administering the initial heparin bolus before
initiating treatment? - ANSWER ✓ takes 3-5 minutes for heparin to become
systemic
When do you take PO4 binders? - ANSWER ✓ with meals and snacks
#1 thing we do - ANSWER ✓ patient safety
Conductivity acceptable rrange - ANSWER ✓ 13-15.5 and +/- 0.4 of the machine
pH of dialysate - ANSWER ✓ 6.9-7.6
blood pH - ANSWER ✓ 7.35-7.45
When is the RO checked? - ANSWER ✓ before the first patient and every 4
hours afterwards
Bicarb lasts for how long once opened? - ANSWER ✓ 24 hours
Acid lasts for how long when opened? - ANSWER ✓ 30 days
if additives discard after treatment
lifespan of a RBC for dialysis patient - ANSWER ✓ 60 days
,Ultrafiltration - ANSWER ✓ fluid passing thru a membrane
Convetion - ANSWER ✓ solute being dragged across the semipermeable
membrane
Diffusion - ANSWER ✓ particles from high to low concentrations
Osmosis - ANSWER ✓ fluid from lower to higher concentration
How much air can cause a patient harm? - ANSWER ✓ 10mL
What is the solution of bleach to clean up a spill? - ANSWER ✓ 1:10
2 independent nursing functions - ANSWER ✓ patient care and technical skills
2 common routes for CVC infection - ANSWER ✓ into cath via contact of the
insertion site and via cath lumen- scrub the hub for 60 seconds each limb
Most common cause for CKD in USA - ANSWER ✓ DM
What is the percent of kidney function lost before going on dialysis - ANSWER
✓ 75%
HD replaces what percent of kidney function - ANSWER ✓ 15%
What is the direct result of intravascular fluid overload - ANSWER ✓ HTN
Patient with cardiac disease are 10x more likely to develop intra HTN - ANSWER
✓ LVH
Offer a patient of this is an example of oral sodium loading - ANSWER ✓ broth
this electrolyte is often elevated with patients with severe itching - ANSWER ✓
phosphorus
kidneys regulate BO by realeasing - ANSWER ✓ renin
hormone stimulated in bone marrow production - ANSWER ✓ erythropoeitin
,Excess of this electrolyte causes slowing of the hearts electrical system -
ANSWER ✓ k
mucosal alteration in the stomach of patients with AKI can lead to this -
ANSWER ✓ anorexia
what is the inflammation aroudn the heart called - ANSWER ✓ pericarditis
restless leg syndrome is a complication of - ANSWER ✓ peripheral neropathy
measures the RBC by weight - ANSWER ✓ HgB
what is the diminished quality and quality of RBC - ANSWER ✓ anemia
what is classified as bone disease associated with renal failure - ANSWER ✓
CKD-MBD
the vitamin converts vit d into which hormone - ANSWER ✓ Calictrol
these procedures can causes significant blood loss in our patients - ANSWER ✓
access procedures
maintaining a normal serum Ca levels are the primary function of this hormone -
ANSWER ✓ PTH
this disease is the leading cause of death at all stages in CKD - ANSWER ✓
cardiac
this skin color is associated with the decrease circulation of RBC from secondary
anemia - ANSWER ✓ pale
it is important to use this team approach when dealing with psychological patients
- ANSWER ✓ multidisplinary
What is the reason for a meerCAT audit - ANSWER ✓ to prepare for survey
readiness
, one thing to improve CAT audit scores - ANSWER ✓ practice good hand
hygiene
one thing to improve meerCAT score - ANSWER ✓ store look-a-like, sound-a-
like products appropriately
Why is the order of lab draw important - ANSWER ✓ samples in subsequent
tubes are not contaminated with additives from the previous
what do you want the level of albumin to be - ANSWER ✓ >4
if drawing labs during dialysis how do you label them? - ANSWER ✓
DRAWING DURING DIALYSIS
BUN lab draws post dialysis - ANSWER ✓ turn off or decrease UR to 50
decrease DFR to 300 or place machine in bypass
reduce BFR to 100
wait 15 seconds for AVG/AVF and CVC (WAIT 15 seconds!!)
Obtain from A Line
Why is drawing the correct amount for blood cultures improtant - ANSWER ✓
too much blood may create a false positive
When do we test Hep B - ANSWER ✓ need to have it every 28 days drawn for
negative and susceptible, if negative and immune every 365 days. if unknown draw
patient
Rule of 6 is good for? - ANSWER ✓ new AVF to guide
what is LOOK LISTEN AND FEEL? - ANSWER ✓ assessment without needles
inflow stenosis is - ANSWER ✓ with AVF, venous stenosis, water hammer pulse
outflow stenosis - ANSWER ✓ with AVG, whistling sound
How do you identify disinfectant infusion is happening - ANSWER ✓ burning or
pain at that access site