FRESENIUS CCHT REVIEW EXAM EXAM QUESTIONS

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FRESENIUS ~ CCHT REVIEW EXAM EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -64 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Diffusion is movement of particles

Answer:

from an area of higher concentration to an area of lower concentration

Question 2: Steps for creating a buttonhole

Answer:

Remove the scab, cannulate the same site at the same angle, by the same caregiver with sharp needles for 3-4 weeks to create a tunnel Question 3: The pt's access site had bleed for 30 mins after the needle removal for the last 3 treatments with no change in the heparin prescription, there has also been a steady increase in VP during treatment, what do you suspect

Answer:

Venous Stenosis

Question 4: During Dialysis pt should be monitored for what complications

Answer:

Separation of bloodlines or rupture of an access The presence of air or foam in the line Bleeding around the needle or catheter exit sites Sudden changes in blood flow or venous pressure or line collapse

Question 5: Stenosis

Answer:

narrowing of a blood vessel Question 6: Dialyzer performance can be affected by reuse, what problems may occur

Answer:

Reduced dialyzer performance, plugged hollow fibers, changed fiber bundle volume Question 7: According to AAMI standards, bacteriologic testing for water and dialysate should take place

Answer:

Monthly

Question 8: Things that can affect dailysis adequacy include

Answer:

time on treatment, Blood and dialysate flow rates, dialyzer clotting

Question 9: Catheter placement

Answer:

internal jugular vein is the preferred insertion site for both temporary and long term catheters Question 10: The leading cause of End-Stage Renal Disease (ESRD) for adults in the U.S.

Answer:

Diabetes

Question 11: Why do kideny patients often have bone disease

Answer:

Kidneys stop producing calcitriol Question 12: "First Use Syndrome" is a hypersensitivity reaction to a dialyzer, characterized by

Answer:

Back pain, anxiety, tachycardia, wheezing, circulatory collapse

Question 13: what are the criteria for rejecting a reprocessed dialyzer

Answer:

Less than 80% of original fiber bundle volume, aesthetic appearance

Question 14: Bruit

Answer:

Buzzing, Swooshing sound heard in a fistula pr graft Question 15: Two things that affect the dialyzer's ability to remove wastes from the body include

Answer:

Surface area and molecular weight cutoff

Question 16: Your pt orders are for a 17 gauge needle, you know that

Answer:

he will only be able to attain a 250 m/min -300 mL/min QB (BFR) Question 17: If there is a decrease in the patient's URR or Kt/V, which of the following factors should be looked at?

Answer:

Increased access recirculation, Diminished dialyzer performance due to reprocessing, inadequate anticoagulation of the blood, blood pump speed

Question 18: Anastomodsis

Answer:

Surgical conncetion between two blood vessels

Question 19: the normal range for a resting pulse rate in an adult is

Answer:

60 to 100 beats/min Question 20: The components of the dialysate treatment that affect clearance include

Answer:

Dialysate flow, time of treatment, dialyzer size, blood flow rate

Question 21: Addressing a pt as "Sweetie"

Answer:

is inappropriate because it can make the patient feel dependent on you Question 22: a dialyzer with a ultrafiltration coefficient of 12, (Kuf of 12) and a TMP of 120 wil remove how many fluids per hour

Answer:

1440

Question 23: a rapid pulse of 104 beats/min would indicate that the patient has

Answer:

tachycardia

Question 24: A nephron is made up of

Answer:

A glomerulus and a tubule

Question 25: 4 types of anastomosis for an internal arteriovenous fistula

Answer:

Artery side to Vein side Artery end to Vein end Artery side to Vein end Artery end to Vein side

Question 26: Symptoms that a patient may need more dialysis time include

Answer:

Anorexia, fatigue, swelling

Question 27: what do you do in a venous needle infiltrated

Answer:

insert a second needle above the venous infiltration Question 28: Dialysate is the fluid that helps remove waste products from the body. It contains a number of substances. What might be prescribed for a dialysate solution

Answer:

Bicarbonate, Sodium, Potassium