Study guide part 2
The blood path integrity is tested to eliminate the possibility of a blood leak. The drop in pressure should not exceed
10 mmHg
The minimum dwell time to achieve sterilization with the chemical renalin is
11 hours
The normal range of resting respirations in an adult is
12-20 breaths per minute
AAMI standards for total microbial count of dialysate shall not exceed
200 CFU/mL
Which organization set the standards and recommendations for dialyzer reprocessing?
AAMI
Which learning domain is behavioral based
Affective
Hives itching tightness of the chest and respiratory distress may be signs and symptoms of
Anaphylaxis (severe allergic reaction)
Total chlorine levels in the the water are tested
Before each patient shift or every four hours
Dialysate pH should be
Between 7.0 and 7.4
Which of the following components in dialysate is used to correct metabolic acidosis?
Bicarbonate
The water softener removes
Calcium and magnesium
During hemodialysis a patient goes into cardiac arrest. The first action of the dialysis technician should be?
Call for assistance
Mr Roberts verbalize how to hand crank his blood pump in the event of an emergency. This is an example of which adults principle?
Cognitive
Which learning domain is knowledge based
Cognitive
A 58 year old patient who is blind comes to treatment accompanied by his wife. Which of these approaches should the dialysis technician use when interacting with the patient?
Describe the activities in the immediate environment
A patient who is to receive their first dialysis treatment is prone to?
Dialysis disequilibrium syndrome
Short frequent hemodialysis treatment in patients with high BUN (blood urea nitrogen ) are performed to prevent
Dialysis disequilibrium syndrome
Which of the following is considered to be safe water for dialysis?
Dialysis quality water
What lab tests are used to monitor anemia in the ESRD patient?
Hemoglobin/Hematocrit
Dialysate that is too hot will cause
Hemolysis
Patients exposure to chloramines during the hemodialysis treatment may cause
Hemolysis
Fifteen minutes before the end of a hemodialysis treatment a patient complains of dizziness and nausea. These symtoms are most likely due to
Hypotension
Germicide rebound occurs due to
Inadequate dialyzer priming
The purpose of using counter-current flow is to
Increase the rate of waste removal
A reason why a dialysis technician is to be certified is
It's a new federal regulation
According to AAMI the standard level for endotoxin level is
Less than two (2) EU/mL
The water softener
Operates on the principle of ion exchange
Feed conductivity - product conductivity divided by X 100 is the formula calculation of
Percent rejection
Total cell volume (TCV) is an indirect measure of the
Performance of the dialyzer
The dialysis technician role in patients education is to
Reinforce information provided by the other teammates
The reprocessed dialyzer is carefully rinsed prior to patient use to remove
Residual sterilant
Pain at the venous needle site along with respiratory difficulty and chest pain could be an indicator of
Sterilant infusion
A rapid pulse of 104 beats/minute would indicate that the patient has
Tachycardia
During the hemodialysis treatment a patients complains of feeling chilled. In addition to getting the patient a blanket which of these action should the technician take?
Take the patients temperature
The most important monitor in the dialysis setting
Teammate
Fluid to be removed divided by the treatment time tells us
The ultrafiltration rate
The total pressure that exists across the dialyzer membrane is called
Transmembrane pressure
A marker used to determine the middle molecule clearance of a dialyzer is
Vitamin 12
The most important member of the patient care team is the
patient
According to the new conditions for coverage all dialysis technician are to be certified by a national certifying agency or state specific certification by
04/15/2010
The national standard based on the KDOQI (Kidney Disease Outcomes Outcomes Quality Initiative) guidelines for the Urea Reduction Rate (URR) is a ratio greater than
65%
The TCV should be no less than
80%
The minimum amount of experience required to take the NNCC certifying exam is
6 months
