HANDBOOK 2026 FLUID MANAGEMENT AND
PATIENT SAFETY
◉ a patient's potassium levels has been running high between
dialysis treatment, so the patient has been working with the renal
dietician to restrict potassium in the diet. which of the following
fruits should the patient avoid?
Answer: bananas
◉ during osmosis, which of the following movements takes place?
Answer: fluid moves from an area of lower concentration to higher.
◉ a patient's granddaughter calls the dialysis center and asks for a
progress report on her father, who is a patient in the center. the
technician should.
Answer: state that patient information cannot be divulged
◉ if a hematoma forms at the access site where a needle infiltrated,
the usual intervention is to apply
Answer: cold compresses
,◉ which of the following actions by a patient increases the risk of
blood clots in a venous access?
Answer: wearing a top with very tight- fitting long sleeves
◉ a patient is very anxious during an initial hemodialysis treatment
and requires extra attention. when the treatment is completed, the
patient offers a $20 tip. the technician should
Answer: politely decline the tip
◉ which of the following statements by a hemodialysis patient
suggests that the patient needs more education?
Answer: i should stay on a low protein diet.
◉ the inner part of the kidney is the
Answer: medulla
◉ a nephron is comprised of a glomerulus and a
Answer: tubule
◉ how much urine does a patient with healthy kidneys usually
excrete in 24 hours?
Answer: 1000 to 2000mL
,◉ when removing soiled gloves, the first glove removed should be.
Answer: grasped in the opposite gloved hand
◉ which of the following hormones is produced by the kidneys?
Answer: erythropoietin
◉ at which stages of chronic kidney disease should a patient being
dialysis?
Answer: 5
◉ which of the following is a genetic disorder that can lead to kidney
failure?
Answer: polycystic kidney disease
◉ which of the following complains by a patient may be an
indication of uremia?
Answer: itching
◉ a patient with a right-sided radiocephalic A fistula (above the
wrist) needs to have blood test in the lab for a number of different
lab test. the blood should be drawn from the
Answer: left hand
, ◉ when setting up hemodialysis equipment, the four thing that need
to be checked are [ 1 ] dialysate, [ 2] extracorporeal circuit, [ 3]
dialyzer and, [ 4]
Answer: machine alarm
◉ generally, the optimal dialysate flow rate for hemodialysis should
be
Answer: 1.5 to 2 times the blood flow rate
◉ a patient is receiving hemodialysis with a dialyzer with an
ultrafiltration coefficient [ kuf ] of 10 and a transmembrane pressure
[TMP] of 100 mm hg. how much fluid should the patient lose per
hour of treatment
Answer: 1000 mL
◉ under what circumstances can needle be reused for hemodialysis?
Answer: under no circumstances
◉ if a emergency ( such as a tornado ) occurs and patients need to
be evacuated, which group of patient should be disconnected from
dialysis machine first?
Answer: patients able to ambulate independently