CDC STATE EXAM DIALYSIS

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CDC STATE EXAM DIALYSIS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -100 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What potential patient complication should be monitored by dialysis personnel if reverse filtration occurs and dialysis water is moved into the blood?

Answer:

pyrogenic reaction

Question 2: What is the acceptable range for dialysate conductivity?

Answer:

13.0-15.5

Question 3: Dialysis disequilibrium syndrome is due to

Answer:

Rapid removal of blood urea causing a disequilibrium gradient between the blood and the brain cells resulting into a fluid shift into the brain.

Question 4: Cleaning the blood pressure cuffs between patients..

Answer:

helps remove microorganisms that may be colonized in a patients axillary area Question 5: What should you do if you suspect your patient is having symptoms of hemolysis?

Answer:

check the conductivity

Question 6: The primary mechanism for anemia in CKD is

Answer:

EPO deficiency Question 7: You intitiate a patients treatment with a 3k+2.5CA++ dialysate bath. Late in the treatment, you discover that his orders call for a 1k bath. What is a possible consequence?

Answer:

The patients post-treatment potassium could be too high and he may have symptoms.

Question 8: How often is chlorine testing done?

Answer:

every four hours Question 9: To safely dialyze a patient who is hepatitis b positive, the dialysis tech should ensure that the..

Answer:

the patient is placed in the isolation room and has a dedicated machine.

Question 10: What are the monitors of dialysate on the dialysis machine?

Answer:

Temperature and conductivity Question 11: Hypotension, the most common complication during dialysis, may be caused by

Answer:

Incorrect dry weight, incorrect ultrafiltration rate and antihypertensive medications

Question 12: Dialyzers should be rejected for reuse if

Answer:

cracked, chipped, plastic housing is defective.the clearance is less than 90% the total cell volume is less than 80% of the original cell volume

Question 13: Fever during dialysis may be caused by

Answer:

infection and introduction of pyrogens or endotoxins during dialysis

Question 14: The dialysate compartment must be sterile. True or false

Answer:

False

Question 15: High flux dialysis requires all of the following except

Answer:

low blood flow rates Question 16: Name the principle utilized to remove waste products in the nephron..

Answer:

diffusion

Question 17: Aluminum toxicity can result in

Answer:

dialysis encephalopathy and bone marrow fibrosis Question 18: Serum phosphorus levels may be difficult to control in chronic renal failure because

Answer:

-Phosphorous is inadequately dialyzed -Phosphorous is present in many foods -Patient may not take their phosphate binders within 20 min of a meal -In an attempt to raise calcium levels, pth also raises phosphorous levels that the renal failure patient cannot excrete well.Question 19: What is the recommended treatment for osteodostrophy in CKD patients?

Answer:

Administration of phosphate-binding agents

Question 20: The patients BUN is affected by

Answer:

The patients protein intake and removal of urea by dialysis

Question 21: Factors which can affect adequacy of dialysis include which of the following

Answer:

Blood flow rate Dialyzer surface area Treatment Time

Question 22: Blood urea levels may be increased as a result of..

Answer:

gastrointestinal tract bleeding and steroid use

Question 23: All of the following factors can decrease kt/v except

Answer:

increasing BFRs Question 24: During a patients treatment you observe that the back of the venous external transducer protector is contaminated with blood. After replacing the transducer protector you notice the venous pressure appears to be very different when compared to previous pressure alarming. Which of these actions should you take?

Answer:

Discontinue treatment, remove machine from service and resume treatment using another machine.

Question 25: Functions of PTH(parathyroid hormone)

Answer:

-Stimulates the kidney to produce calcitrol -Stimulates the kidney to increase reabsorbtion of calcium and decrease reabsorbtion of phosphorous.Acts on the bones to increase remodeling and release calcium and phosphorous.

Question 26: The most common cause of poor response to EPO therapy is

Answer:

Decreased iron levels Question 27: You are caring for Mrs. G today and within the first hour of treatment, Mrs. G says she is feeling very cold and begins to shiver. You take her temperature, and it is elevated. What is the most likely cause?

Answer:

Pyrogen reaction