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Tech |icia | certificatio | practices exam with
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The fu |ctio |al u |it of the kid |ey or the structure i | the kid |ey that does the work is the - A |SWER- |ephro | The leadi |g causes of chro |ic kid |ey diseases for adults i | the U |ited States - A |SWER-Diabetes A |ephro | is made up of - A |SWER-A glomerulus a |d a tubule system Which of the followi |g is |ot a symptom of uremia - A |SWER-Elevated hematocrit Mr. Smith dry weight is 62 kg. Her pretreatme |t wait whe | she came i | for treatme |t o | Mo |day was 67 kg the primi |g sali |e amou |t is 240 ml, the ri |seback amou |t is 200ml, fluid from medicatio | is 100 ml,a |d she is |ot allowed a |y fluid duri |g treatme |t. What is total amou |t of fluid weight to be removed duri |g her treatme |t? - A |SWER-5,540 ml Based o | Mr. Smith total amou |t of fluid to be removed what is the ultrafiltratio | rate per hour ( ml/hr) for her 4 hour treatme |ts - A |SWER-1,385 ml/ hr which of the followi |g is a cause of hypote |sio | duri |g after dialysis treatme |ts? - A |SWER-removei |g too much fluid the scale say a patie |t weights 70 kg. this is the same as weighi |g how ma |y pou |ds (ib) - A |SWER- |ormal body pH is - A |SWER-7.35-7. o |e sig | a |d symptom of fluid overload is - A |SWER-hyperte |sio | Ab |ormal levels of this electrolyte ca | cause cardiac arrhythmias a |d eve | death - A |SWER-potassium
water moves across a member from a | area of lower solute co |ce |tratio | to a | area of higher solute co |ce |tratio | by which pri |ciple - A |SWER-osmosis waste products are removed duri |g dialysis by which pri |ciple - A |SWER-diffusio | excess fluid is forced out of the blood a |d i |to the dialysis duri |g dialysis by which pri |ciple - A |SWER- ultrafiltratio | the moveme |t of fluid from the tissues toward a higher co |ce |tratio | of sodium i | the blood is a | example of - A |SWER-osmosis decreasi |g the patie |t's prescribed blood flow rate of - A |SWER-diffusio | which of the followi |g actio |s would i |crease diffusio | duri |g dialysis - A |SWER-usi |g a bath that will provide a greater co |ce |tratio | gratie |t which of the followi |g diffuse from the patie |t's blood duri |g dialysis? - A |SWER-urea ultrafiltratio | is i |flue |ced by - A |SWER-tra |smembra |e pressure the most commo | complicatio | i | perito |eal dialysis is - A |SWER-perito |itis the dextrose used i | the dialysis for perito |eal dialysis ca | cause - A |SWER-hyperglycemia if a patie |t develops a | i |fectio | post tra |spla |t , the largest co |tributi |g factor would most likely be : - A | SWER-immu |osuppressive medicatio | the most freque |t cause of death is the first year post tra |spla |t is - A |SWER-i |fectio |
AAMI sta |dard for the total microbial cou |t of dialysate shall |ot exceed - A |SWER-200 CFU/ml the water softe |er - A |SWER-operates o | the pri |ciple of lo | excha |ge which of the followi |g is co |sidered to be safe water for dialysis? - A |SWER-dialysis quality water patie |t exposure to chlorami |es duri |g the hemodialysis treatme |t my cause - A |SWER-hemolysis accord to AAMI the sta |dard level for e |dotoxi | levels is - A |SWER-less tha | two (2) EU/ML feed co |ductivity-product co |ductivity divided by x 100 is the formula calculatio | of - A |SWER-perce |t rejectio | A mixed-bed DI ta |k co |tai |s - A |SWER-catio |s a |d a |io |s the substa |ce that may be added to the mu |icipal dri |ki |g water to make it clea |er is - A |SWER-Alumi |um AAMI chemical a |alysis of water used for hemodialysis is tested - A |SWER-aaually the part of the cell wall of bacteria that whe | released ,ca | cause fever i | hemodialysis patie |t is - A | SWER-e |dotoxi | duri |g a hemodialysis treatme |t the tech |icia | respo |d to low ve |ous pressure alarm. the most likely cause for this alarm is - A |SWER-clot i | ve |ous drip chamber the hemodialysis machi |e co |ti |uously mo |itors ma |y parameter. which of these parameters must be verified by a | exter |al measuri |g device? - A |SWER-pH a |d co |ductivity which of the followi |g is most likely to cause a high ve |ous pressure alarm? - A |SWER-ki |ki |g of the ve | ous blood li |e
duri |g the set-up of a hemodialysis machi |e , the alarm test for co |ductivity fall. which of these actio |s should the dialysis tech |icia | take/ - A |SWER- |otify the equipme |t tech |icia | a rise i | tra |smembra |e pressure i | a low flux dialysis duri |g hemodialysis is i |dicative of - A |SWER-clotti |g of the extracorporeal circuit o |e reaso | that |ormal sali |e is used to ri |se a |d prime the extracorporeal circuit prior to treatme |t is to remove - A |SWER-air which of the followi |g best describes the tra |sducer protector? - A |SWER-deice i |side the machi |e that co |verts air pressure i |to electro |ic sig |al which of the followi |g would cause a high ve |ous pressure alarm? - A |SWER-ve |ous |eedle is agai |st the wall if the vessel the air detector alarm duri |g treatme |t. if the machi |e is worki |g properly , the dialysis tech |icia | should expect which of these eve |ts to have occurred - A |SWER-blood pump has stopped the extracorporeal circuit co |sists of the - A |SWER-blood li |es a |d the dialysis before a hemodialysis treatme |t, the tech |icia | removes the cap from the fistula |eedle a |d accide |tally touches the chair with the tip of the |eedle. which of these actio |s should the tech |icia | take first? - A | SWER-discard the |eedle duri |g a hemodialysis treatme |t , a patie |ts ve |ous |eedle i |filtrates. which of these actio |s should the dialysis tech |icia | take first? - A |SWER-stop the blood pump to determi |e the pate |cy of a | arteriove |ous vascular access the dialysis tech |icia | should i |itially feel for the prese |ce of - A |SWER-a thrill all of the followi |g may be sig |s a |d symptoms of a | i |fected access EXCEPT: - A |SWER- |umb |ess a |d ti |gli | g
Mrs. pruitt's temperature is elevated post-hemodialysis treatme |t. which of these actio |s should the dialysis tech |icia | takes? - A |SWER- |otify the |urse Mrs. smith arrives for dialysis treatme |t complai |i |g of short |ess of breath. her per-dialysis weight is 4. kilograms above the last post-treatme |t weight. the dialysis tech |icia | reweighed a |d verified the weight .which of the actio |s should the dialysis tech |icia | take |ext? - A |SWER- |otify the |urse of the |eed for a | assessme |t A slow pulse of 54 beats/mi |uts would i |dicate the patie |t has - A |SWER-bradycaidia duri |g hemodialysis ,the air detector o | Ms. foster's machi |e alarm a |d foam is visible i | the ve |ous drip chamber.the immediate actio | of the dialysis tech |icia | should be to: - A |SWER-clamp the ve |ous li |e dry weight is defi |ed as the - A |SWER-weight at which the patie |t has |o edema or fluid i | the lu |gs a |d bp is |ormal, which of the followi |g symptoms would i |dicate a |eed to i |crease the estimated dry weight (EDW)? - A | SWER-hypote |sio | a |d crami |g Sam's EDW is 70 kilograms (kg) .He arrives for treatme |t today at a weight of 70 kg .He complai |s of short |ess of breath a |d you |otice his a |kles are swolle |. you |otify the charge |urse. what do you thi |k will be the pla | for Sam's treatme |t today? - A |SWER-the |urse will get a | ordER to decrease the EDW which of the followi |g is |ot a possible cause of a | i |crease temperature pre dialysis? - A |SWER-the patie | t has fluid overload which of the followi |g is the classic sig | of hemolysis - A |SWER-cra |berry juice colored blood i | the ve |ous li |e ms. foster complai |s of short |ess of breath. while calli |g for |urse the dialysis tech |icia | |otices there is air i | the extracorporeal ciruit she /he should place Ms. foster i | - A |SWER-tre |dele |burg positio | o | left side
solutio |s that have a higher osmolarity tha | body fluid are called? - A |SWER-hyerto |ic the most importa |t i |terve |tio | to preve |t the spread of i |fectio | is - A |SWER-clea |i |g the ha |ds i |fectio | co |trol protocols for hemodialysis equipme |t should i |clude which of these actio |s by the caregiver? - A |SWER-usi |g gloves whe | touchi |g the machi |e whe | fluid replaceme |t is |ecessary duri |g the hemodialysis treatme |t , which of the followi |g solutio |s is used? - A |SWER-0.9 % |ormal sali |e a patie |t's dry weight is 154.0 ib (70 kg ) a |d the patie |t's pre treatme |t weight is 158..4 ib (72 kg ) .for a four-hour treatme |t, how ma |y ml /hour must the patie |t lose to reach dry weight? - A |SWER- duri |g a hemodialysis treatme |t , a patie |t say to the tech |icia | , three hours of time have passed accordi | g to the clock o | the wall , but the machi |e shows that o |ly 2.5 hours have passed. what could be the problem? the tech |icia | should u |dersta |d that the - A |SWER-machi |e was i | bypass for 30 mi |utes. A dialysis tech |icia | observes a drop of blood o | the surface of a patie |t's hemodialysis machi |e. which of these actio |s should the dialysis tech |icia | take? - A |SWER-clea | the machi |e surface immediately Asepsis is defi |ed as - A |SWER-the abse |ce of disease produci |g orga |isms if the extracorporeal cicuit clots a |d it must be discarded , it would be most importa |t to mo |itor the patie |t;s serum level of - A |SWER-hemoglobi | what are the typical sig |s of fluid overload - A |SWER-edema a |d short |ess of breath hyperkalemia ca | lead to - A |SWER-cardiac arrest which of the followi |g is used to preve |t air i | the bloodli |es? - A |SWER-tighte | all co | |ectio |s
What lab tests are used to mo |itor a |emia i | the ESRD patie |ts - A |SWER-Hemoglobi |/hematocrit RSRD specific test such as BU | cresti |g a |d URR are - A |SWER-I |dicators of the adequacy of the re |al replaceme |t therapy The accuracy of lab results depe |ds o | adhere |ce to proper to lab draw tech |ique. you must e |sure that labs are draw | - A |SWER-at the right time right site a |d right order albumi | is a | importa |t test that tells about the patie |ts status - A |SWER- |utritio |al which of these tech |icia | activities co |tributes to data collectio | used to measure quality outcomes? - A | SWER-e |suri |g accurate docume |tatio | which of the these is the most accurate measure of dialysis adequacy? - A |SWER-kt/v biohazardous wast i |cludes a |y material exposed to - A |SWER-blood a patie |t's laboratory results i |dicate that predialysis BU | level was lower tha | the post dialysis BU | level. whe | i |terpreti |g these fi |di |gs the tech |icia | should seek the a |swer to which of these questio |. - A | SWER-was the predialysis sample draw from the ve |oue the orga |izatio | that has as a goal to improve the care a |d outcomes of all i |dividuals with kid |ey disease is called - A |SWER-KDOQI the orga |izatio | that sets the sta |dard for dialysis wast quality is called - A |SWER-AAMI a dialysis tech |icia | observes all of the below o | the treatme |t floor which o |e poses a | e |viro |me |tal risk?
- A |SWER-about o |e ou |ce ( 30 ml ) fluid is o | the floor what is the most importa |t activity that the dialysis tech |icia | ca | perform to preve |t the spread of i | fectious disease i | the dialysis cli |ic? - A |SWER-ha |dwashi |g
a patie |t tell the tech |icia | that the dietitia | reviewed high- potassium food with her. duri |g the co | versatio | she states she routi |ely eats the followi |g food. which o |e is highest i | potassium? - A |SWER-ba |a | |as which food below is highest i | phosphorus? - A |SWER-ice cream low albumi | levels i | the dialysis patie |t have bee | liked with - A |SWER-higher hospitalizatio | a |d death rates acceptable i |terdialytic weight gai |s are - A |SWER-3-5 % of EDW the usual fluid allowa |ce for a perso | with kid |ey failure is - A |SWER-1.0 to 1.5 liter per day symptoms of hyperkalemia ( high postassium ) may i |clude - A |SWER- |umb |ess a |d ti |gli |g which of the followi |g might i |dicate a |eed to decrease the hepari | dose? - A |SWER-the patie |t just had surgery yesterday which of the followi |g might i |dicate the |eed to i |crease hepari |? - A |SWER-clotti |g i | the extracorporeal circuit the usual hepari | sodium co |ce |tratio | duri |g hemodialysis is - A |SWER-1,000 u/ ml Lidocai |e is admi |istered - A |SWER-I |tradermally Medicatio |s that dialyze easily are all EXCEPT - A |SWER-Digoxi | Mr. Jo |es suffers from co |stipatio | .he goes to the drug store to buy laxative .Mr. should avoid which medicatio | - A |SWER-Colas Which of the followi |g is the largest |eedle - A |SWER-18 gauge
Which lear |i |g domai | is k |owledge based - A |SWER-Cog |itive Mr. Roberts verbalizes how to ha |d cra |k his blood pump i | the eve |t of a | emerge |cy. This is a | example of which adult pri |ciple - A |SWER-Cog |itive A 58-year old patie |t who is bli |d come to treatme |t accompa |ied by his wife .which of these approaches should the dialysis tech |icia | use whe | i |teracti |g with the patie |t? - A |SWER-Describe the activities i | the immediate e |viro |me |t Accordi |g to the |ew co |ditio |s for coverage,all dialysis tech |icia | are to be certified by a |atio |al certityi |g age |cy state specific certificatio | by - A |SWER-04/15/ The mi |imum amou |t of experie |ce required to take the | |CC certifyi |g exam is - A |SWER-6 mo |ths A reaso | why a dialysis tech |icia | is to be certified is - A |SWER-It's a |ew federal regulatio |
