Module 3 Quiz

While preparing to manually return the patient's blood using the hand crank method during a power failure, the teammate aseptically disconnects the arterial blood line from the arterial access connection and attaches it to the Y port or LockSite connector on the saline infusion line. It is important for the teammate to understand that the next step is to observe for the presence of air in the lines and if air is not present remove_________ from the________?

Venous line from the air lock chamber

TRUE OR FALSE? The topical anesthetic spray does not require a physician's order because it is not an injectable medication. It can be administered as needed at the licensed nurse's discretion.

false

Which of the following is NOT an approved treatment intervention for intradialytic cramping?

gloves filled with hot water

The patient complains of feeling nauseated and has cold clammy skin. The most likely cause is

hypotension

The teammate finding a patient who has fallen or who has witnessed a patient fall will immediately notify:

licensed nurse

Which is the acceptable way to distribute prescribed medication to patient stations?

place in sterile field table top with supplies

Drawing up the ordered patient medication from a multi-dose vial

requires new sterile needle - May not be drawn from more than one vial to avoid pooling of the medication.

what is the primary device for water purification

reverse osmosis

If a patient experiences a cardiopulmonary arrest during hemodialysis, all medical devices utilized for the patient treatment (including any disposables) are to be:

sequestered

In what position should you place a patient who experiences an intradialytic hypotension episode?

supine position

The teammate performs Total Chlorine testing twice from the primary carbon tank sample testing port; both tests resulting in greater than 0.1 ppm. If the teammate then performs Total Chlorine testing from the secondary carbon tank sample testing port resulting in less than 0.1 ppm,

testing resumes every 30 min

What is the purpose of testing the conductivity and Ph of the final dialysate composition with an independent meter?

to verify that correct amounts of dialysis quality water, acid and bicarbonate concentrates are properly mixed by the dialysis delivery system as prescribed by the physician

TRUE OR FALSE? Emergency take off kits are to be available at each dialysis station and stored within the patient's reach.

true

TRUE OR FALSE? Medications should only be drawn up for one shift of patients at a time and must be administered within 4 hours of preparation (except in states with stricter time limits).

true

TRUE OR FALSE? The dialysis treatment may be continued during and after a seizure provided the patient is closely monitored for safety, and responds appropriately to intervention(s).

true

TRUE OR FALSE?In the case of an anaphylactic reaction, dialysis must be discontinued without returning the patient's blood.

true

An immediate symptom of a disinfectant infusion is pain at the __________________ needle site.

venous site

Why do we treat water to purify it for use in dialysis?

- to remove contaminants - patient safety - prevent equipment damage

which of the following is the acceptable limit for water endotoxin result per davita policy?

0.25 EU/ml or greater

the three processes that make up the water treatment systems are

1. Pre-treatment 2. Water purification 3. Distribution

Which heparin unit strength is most commonly given during the dialysis treatment?

1000ml

Pre-treatment water samples for chlorine testing are collected after the RO has operated for at least

15 minutes

Per DaVita policy, for severe hypotensive symptoms, if ordered by the physician, dialysis patient care technicians (PCTs) may give up to _______ ml of normal saline (per state and local Board of Nursing regulations) and then inform the licensed nurse for further evaluation and intervention.

200,l

Total Water Hardness is checked

At the end of the treatment day

The Patient Care Technician is allowed to administer per DaVita policy and under the supervision of the licensed nurse (as applicable under state law)

Heparin, lidocaine, Normal Saline (0.9% Sodium Chloride), Topical Anesthetic Spray

What does the RO machine remove?

Organic and inorganic contaminants, bacteria, and endotoxins.

If the initial and re-test of Total Chlorine from the primary carbon tank sample testing port shows a result greater than 0.1ppm, then the teammate should understand:

Testing is performed after the secondary carbon tank

An opened multi-dose vial must be labeled with the initials of the person opening the vial and

The date open and date expiration (28 days from now) & time opened.

Prior to the use of dialysis quality water, including treatment initiations, what is the role of the licensed nurse in regards to the Daily Water Treatment Log

The licensed nurse reviews the log for completeness, verifies all parameters are within specified limits, and initials and signs the log

which statement is true regarding the administration of normal saline?

The teammate must remain with the patient to monitor the process until administration is complete and lines are securely clamped.