COMPLETE SOLUTIONS
Course
Fresenius medical care PCT
Question 1
Q: What is the primary purpose of dialysis in patients with renal failure?
A: To remove waste products and excess fluid from the blood when the kidneys are unable to
perform this function.
Rationale: Dialysis mimics kidney function, helping to maintain electrolyte balance and fluid
homeostasis in patients with compromised renal function.
Question 2
Q: Which of the following is a common complication of hemodialysis?
A: Hypotension (low blood pressure).
Rationale: Rapid removal of fluid during hemodialysis can lead to a drop in blood pressure,
causing symptoms like dizziness or fainting.
Question 3
Q: What is the significance of the "pre-dialysis assessment" for a PCT?
A: It helps identify any potential complications or changes in the patient's condition that may
need to be addressed before treatment.
Rationale: Conducting a thorough pre-dialysis assessment ensures patient safety and
effective care, allowing the healthcare team to respond appropriately.
Question 4
Q: How often should a PCT check the patient's vital signs during a dialysis session?
A: Vital signs should be checked at the beginning of the session, at least every 30 minutes
during treatment, and at the end of the session.
Rationale: Regular monitoring of vital signs helps detect any adverse reactions or
complications early, ensuring prompt intervention if needed.
Question 5
Q: What is the role of heparin during hemodialysis?
A: Heparin is an anticoagulant used to prevent blood clotting in the dialysis circuit.
, Rationale: Preventing clot formation is crucial for maintaining the patency of the dialysis
machine and ensuring effective blood flow throughout the procedure.
Question 6
Q: In the event of a patient's arterial needle dislodging during dialysis, what should the PCT
do first?
A: Apply direct pressure to the access site to control bleeding.
Rationale: Immediate pressure helps prevent excessive blood loss and stabilizes the patient's
condition while preparing for further medical assistance.
Question 7
Q: What dietary recommendations are typically provided to patients undergoing dialysis?
A: Patients are often advised to limit potassium, phosphorus, and sodium intake while
ensuring adequate protein consumption.
Rationale: These dietary modifications help manage electrolyte imbalances and prevent
complications associated with renal failure and dialysis treatment.
Question 8
Q: What is the purpose of a "dialyzer" in the dialysis process?
A: A dialyzer acts as an artificial kidney, filtering waste products and excess fluid from the
blood.
Rationale: The dialyzer's membrane allows for the exchange of solutes between the blood
and the dialysate, effectively removing toxins and maintaining fluid balance.
Question 9
Q: Why is it important for a PCT to maintain proper hand hygiene during dialysis?
A: Proper hand hygiene helps prevent the transmission of infections, particularly in patients
with vascular access sites.
Rationale: Maintaining strict infection control measures is essential in healthcare settings,
especially for patients who are vulnerable due to their medical conditions.
Question 10
Q: What should a PCT do if a patient reports chest pain during dialysis?
A: Stop the dialysis treatment immediately and notify the nurse or physician.