FRESENIUS ANNUAL COMPETENCY QUESTIONS WITH CORRECT ANSWERS

Adverse events must be documented on the medical record, - QAI, and Adverse Event Report The action of Renin is to raise the blood pressure. - to raise the blood pressure. According to FMS policy, intravenous medications are permitted to be pre-drawn how many hours before administration? - 4 According to FMC policy, the safe level for total chlorine is - less than 0.10 ppm All of the following can contribute to hyperkalemia - Hemolysis, dietary indiscretion, blood transfusions The arterial needle is placed - Either with or against the flow of blood After the placement of a new central venous catheter, the patient suddenly develops SOB, pain in the side, and unilateral distention of the chest. Suspecting a possible catheter related complication, in addition to notifying the physician, the RN should? - Immediately stop Tx The adequacy of a dialysis Tx may be compromised by? - Inadequate heparinization All of the following can contribute to hyperkalemia except - Diarrhea Bright cherry soda colored blood is noticed in the dialyzer. The patient complains of SOB, HA, and burning at the needle site. In view of these findings, the care giver should: - stop blood pump and do not return blood to patient Certified Clinical Hemodialysis Technicians role in education is to? - Reinforce The component of the dialysate that helps treat acidosis is - bicarbonate. Chloramines or bleach in the dialysate during dialysis can cause a patients' death due to - hemolysis During the OLC testing, a gradual drop in clearance effectiveness by conductivity, KeCN, is most likely to indicate the need to - increase heparin dosage. Documentation and interpretation of the KeCN results can assist the staff member in - assessment for possible clotting in the dialyzer. Dialysis has been initiated on a patient using a right internal jugular catheter, as a blood pump is turned to 200, foam begins to accumulate in the lines. The patient begins to wheeze, and becomes SOB. The care givers first action would be - clamp the venous line During dialysis a patient has a cardiac arrest which action should be completed on the dialysis machine before the machine is used by another patient. - Technical must perform a functional test on the machine. The dialysis technician has performed a rinse back on a patient and failed to gather all the supplies needed to disconnect the patient. What must the technician do prior to getting clean supplies? - Remove gloves, wash hands, and put on clean gloves An equivalent marker for inflammation as well as an indicator of future mortality risk and length of hospitalization stay is a body protein known as? - Serum albumin Excessive fluid removal during dialysis, combined with the patient's taking an antihypertensive med may result in patient having? - Hypotension Epogen is a medication used to treat the anemia that accompanies renal failure. The physician has ordered 8000u each Tx. The facility stocks Epogen 20,000/ml concentrate. How much should be administered? - 0.4ml Following FMC policy, when should the first and second hardness test be completed? - Before the first treatment and after the completion of the last patient's treatment. The following KeCN are noted: 0015=268, 0045=254, 0115=242, 0145=243, 0215=238. These results indicate? - A need to increase heparin.