Study guide part 2

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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


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