CCHT practice Questions and
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which of the following terms indicates a solution that has the
same concentration of solutes as blood? Ans: isotonic
a patient's potassium levels has been running high between
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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? Ans: bananas
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during osmosis, which of the following movements takes
place? Ans: 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. Ans: 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 Ans: cold
compresses
which of the following actions by a patient increases the risk
of blood clots in a venous access? Ans: 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
Ans: politely decline the tip
, 2
which of the following statements by a hemodialysis patient
suggests that the patient needs more education? Ans: i should
stay on a low protein diet.
the inner part of the kidney is the Ans: medulla
a nephron is comprised of a glomerulus and a Ans: tubule
how much urine does a patient with healthy kidneys usually
excrete in 24 hours? Ans: 1000 to 2000mL
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when removing soiled gloves, the first glove removed should
be. Ans: grasped in the opposite gloved hand
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which of the following hormones is produced by the kidneys?
Ans: erythropoietin
at which stages of chronic kidney disease should a patient
being dialysis? Ans: 5
which of the following is a genetic disorder that can lead to
kidney failure? Ans: polycystic kidney disease
which of the following complains by a patient may be an
indication of uremia? Ans: 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 Ans: 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] Ans: machine alarm
, 3
generally, the optimal dialysate flow rate for hemodialysis
should be Ans: 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 Ans: 1000 mL
under what circumstances can needle be reused for
hemodialysis? Ans: under no circumstances
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if a emergency ( such as a tornado ) occurs and patients need
to be evacuated, which group of patient should be
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disconnected from dialysis machine first? Ans: patients able to
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ambulate independently
for patients on hemodialysis a, 1 kg (2.2 lb.) increased in
weight in 24 hours is approximately equivalent to fluid
retention of Ans: 1.0 L.
a patient has been advised to avoid foods high in phosphorus.
food that the patient should be advised to limit include. Ans:
dairy products
a patient is scheduled for serum creatinine test and asks the
technician about preparation the day before the test. the
patient should be advised to. Ans: avoid excessive exercise
which of the following ethnic group is most at risk for
development of kidney failure? Ans: african american
a patient has buttonhole tracts for access. after the access is
cleaned and prepped for treatment, what is the next step? Ans:
use a crab picker/ aseptic tweezer to remove the scabs
, 4
with buttonhole tracts, the technician should apply pressure as
the needle are removed and then for Ans: 5 to 10 minutes
if a buttonhole access frequently has long clots that are very
difficult to remove, the most likely reason is Ans: failure to
use 2-finger hold for needle removal
a patient who had an AV fistula in the forearm developed an
aneurysm and has had to have a new AV fistula created in the
upper arm. the patient has a temporary catheter in place for
dialysis until the fistula has matured. which of the following
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exercise may help strengthen the AV fistula? Ans: bicep curl
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with buttonhole access sites, what should the technician do to
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prevent '' hubbing " ? Ans: leave 1/16 th to 1/8 inch of the
needle exposed
if a patient has a dialyzer clearance rate of 250 mL/ min with
4- hour treatment, the total volume of blood cleared is Ans: 60
L.
what is the most important factor in preventing
exsanguination from dialysis line separation? Ans: access site
visible
if a patient states that she has been skipping lunch because
she is too tired to eat after dialysis, the best solution is to.
Ans: report to the nurse and renal dietician
if a patient exhibits signs and symptoms of hemolysis during
dialysis, the immediate action should be to Ans: stops the
blood pump and clamp the blood lines
the amount of dialysis that a hemodialysis patient is
prescribed is based on the removal of Ans: urea