verified solutions
What are the kidneys excretory functions? - ANSWER>>To normalize electrolytes, remove
wastes, provide fluid and acid base balance
what are the kidneys endocrine functions? - ANSWER>>renin secretion
erythropoietin secretion
vitamin d activation
How much of normal kidney function is replaced by hemodialysis? - ANSWER>>15%
Left Ventricular Hypertrophy leads to - ANSWER>>ischemic heart disease, arrhythmia,
myocardial infarction and sudden death
What is your role in CKD-MBD Management - ANSWER>>*report symptoms * urge patients to
take meds (home & treatment)
*report noncompliance problems related to nonadherence
Give 3 examples of pre-,intra-and post-renal causes of AKI - ANSWER>>Pre: obstruction,
volume depletion, Impaired Cardiac Function- decreased cardiac output
Intra: Ischemic ATN, sepsis, Acute Interstitial Nephritis , septic shock, anaphylaxis ,drugs ,
goodpasture syndrome, trauma, open heart surgery
Post: Obstruction, bladder rupture, pregnancy
what is important when monitoring weight and BP? - ANSWER>>-keep a little extra fluid on
the patient so it is available to the kidneys when they start filtering/ultra-filtrating on their
own.
AKI patients are at increased risk for which complications? - ANSWER>>Hypovolemia and
hypotension
what are v tags and why are they important? - ANSWER>>They state specific regulations to
be met within a condition such as infection control, providing interpretive guidance for each
regulation and citing deficiencies by tag #
, Explain the acceptable hand hygiene technique when caring for a pt with active C diff? -
ANSWER>>wash hand with soap and water
what is the most common infectious complication in hemodialysis patients? -
ANSWER>>Bacterial vascular access infections are the most frequent infectious complication
Which patient care assignment are appropriate when caring for hepatitis B patients? -
ANSWER>>-caring for HBsAg Positive and Hepatitis B immune patients at the same time
-caring for hepatitis B susceptible patients and those in the process of receiving the
vaccination at the same time
-caring for hepatitis B immune and susceptible patients at the same time
What is the most common transmission route for HAIs ? - ANSWER>>contact transmission
what is the correct procedure in regards to your hands when you have casual contact with
patient? - ANSWER>>-gloves are not necessary for casual social contact, but hand hygiene is
required after every direct contact with patient and between patient contacts, even if the
contact is casual
what is the most important intervention you can do to prevent HAIs? - ANSWER>>hand
hygiene
What is the safe dialysate pH range? - ANSWER>>6.9-7.6
why is it important for PCT to know when the water treatment system disinfection was
preformed? - ANSWER>>because the end to end disinfection process will also introduce the
disinfectant solution to the dialysis delivery systems through their water inlet lines
Following recirculation, how long can a dialyzer and blood lines be set up? - ANSWER>>2hrs
Why are the dialyzer and blood lines not used for a dialysis treatment once recirculating for
longer than two hours? - ANSWER>>Because of the potential for bacterial growth
what is the correct procedure for residual bleach testing after the chemical disinfection of
loops and equipment fluid pathways? - ANSWER>>residual bleach testing should be
preformed after bleach disinfection and prior to equipment use