FRESENIUS HD FINAL EXAM
During dialysis a patient has cardiac arrest. What action should be completed on
the dialysis machine before the machine is used by another patient? Technical
must perform ______________________ on the machine. - ANSWERS-a
functional test
To prepare for a disaster such a hurricane or possible flooding, staff should lock
down ________________________ seal _________________________ and
secure all in the locked _______________________. - ANSWERS-lids on sharps
containers, boxes/bags, biohazard storage room.
The purpose of maintaining a log of water quality checks is to prove ________
__________ has been documented. - ANSWERS-safe water
The primary cause of anemia in the dialysis patient is a decrease in the production
of ________________________. - ANSWERS-erythropoietin
Diffusion can be defined as the movement of particles: through
________________ from _________________ concentration to a _____________
concentration. - ANSWERS-semi-permeable membrane, greater to lesser
Access _____________________ can jeopardize the adequacy of the dialysis
treatment. - ANSWERS-recirculation
,Inadequate ____________________ or improper priming may contribute to
clotted fibers. - ANSWERS-heparinization
Clotted fibers and air pockets decrease the surface area of the dialyzer, which has
the most impact on ___________________. - ANSWERS-clearance
When a conductivity alarm occurs, the machine enters _______________. -
ANSWERS-bypass mode
A blood leak alarm has occurred. There is no blood visible in the effluent
dialysate. The presence of blood can be verified by testing the _____________
with a blood leak test indicator. - ANSWERS-effluent dialysate
When it is suspected that a patient has an air embolism the first intervention
should be to ____________________ - ANSWERS-clamp the patient venous
bloodline.
According to the CDC, patients who are ____________________ should be
dialyzed in a separate area of the dialysis center, on a dedicated machine. -
ANSWERS-Hepatitis B surface Antigen (HBsAg) positive
The main route of Hep B in Hemodialysis facilities is by exposure to infected
_________________________ and _____________________________. -
ANSWERS-Blood and Bodily fluids
, When caring for a patient who is Hepatitis B positive, after disconnecting the
bloodlines, what hand infection control procedures MUST the technician do
before documentation? - ANSWERS-Remove gloves, sanitize hands... and put on a
fresh pair of gloves.
When working in the isolation room with a Hep B surface Antigen (HBsAg)
positive patient, wear _______________ , use a __________________ pHoenix
meter and centrifuge for the Hep B isolation room, and type into Chairside
wearing ___________________________. - ANSWERS-a disposable fluid resistant
gown / separate / gloves
A patient's Air Detector alarm sounds. COLT is an acronym of the four actions that
are taken in response to a patient who is experiencing symptoms of an air
embolism. Define what each letter signifies. - ANSWERS-C = Clamp of the patient
venous bloodline
O = Off, turn off the blood pump
L = Left side positioning
T = Trendelenburg
The online clearance (OLC) spKt/V goal for each treatment is
____________________. - ANSWERS-1.4
The group of symptoms that include feelings of faintness, double vision,
perspiration, irritability, and hunger may be associated with what patient
complication? - ANSWERS-Hypoglycemia
During dialysis a patient has cardiac arrest. What action should be completed on
the dialysis machine before the machine is used by another patient? Technical
must perform ______________________ on the machine. - ANSWERS-a
functional test
To prepare for a disaster such a hurricane or possible flooding, staff should lock
down ________________________ seal _________________________ and
secure all in the locked _______________________. - ANSWERS-lids on sharps
containers, boxes/bags, biohazard storage room.
The purpose of maintaining a log of water quality checks is to prove ________
__________ has been documented. - ANSWERS-safe water
The primary cause of anemia in the dialysis patient is a decrease in the production
of ________________________. - ANSWERS-erythropoietin
Diffusion can be defined as the movement of particles: through
________________ from _________________ concentration to a _____________
concentration. - ANSWERS-semi-permeable membrane, greater to lesser
Access _____________________ can jeopardize the adequacy of the dialysis
treatment. - ANSWERS-recirculation
,Inadequate ____________________ or improper priming may contribute to
clotted fibers. - ANSWERS-heparinization
Clotted fibers and air pockets decrease the surface area of the dialyzer, which has
the most impact on ___________________. - ANSWERS-clearance
When a conductivity alarm occurs, the machine enters _______________. -
ANSWERS-bypass mode
A blood leak alarm has occurred. There is no blood visible in the effluent
dialysate. The presence of blood can be verified by testing the _____________
with a blood leak test indicator. - ANSWERS-effluent dialysate
When it is suspected that a patient has an air embolism the first intervention
should be to ____________________ - ANSWERS-clamp the patient venous
bloodline.
According to the CDC, patients who are ____________________ should be
dialyzed in a separate area of the dialysis center, on a dedicated machine. -
ANSWERS-Hepatitis B surface Antigen (HBsAg) positive
The main route of Hep B in Hemodialysis facilities is by exposure to infected
_________________________ and _____________________________. -
ANSWERS-Blood and Bodily fluids
, When caring for a patient who is Hepatitis B positive, after disconnecting the
bloodlines, what hand infection control procedures MUST the technician do
before documentation? - ANSWERS-Remove gloves, sanitize hands... and put on a
fresh pair of gloves.
When working in the isolation room with a Hep B surface Antigen (HBsAg)
positive patient, wear _______________ , use a __________________ pHoenix
meter and centrifuge for the Hep B isolation room, and type into Chairside
wearing ___________________________. - ANSWERS-a disposable fluid resistant
gown / separate / gloves
A patient's Air Detector alarm sounds. COLT is an acronym of the four actions that
are taken in response to a patient who is experiencing symptoms of an air
embolism. Define what each letter signifies. - ANSWERS-C = Clamp of the patient
venous bloodline
O = Off, turn off the blood pump
L = Left side positioning
T = Trendelenburg
The online clearance (OLC) spKt/V goal for each treatment is
____________________. - ANSWERS-1.4
The group of symptoms that include feelings of faintness, double vision,
perspiration, irritability, and hunger may be associated with what patient
complication? - ANSWERS-Hypoglycemia
