Fresenius Exam 108 QUESTIONS WITH COMPLETE SOLUTIONS

What bleach solution must all surfaces be cleaned with? CORRECT ANSWERS 1:100 What bleach solution is used to disinfect large blood spills? CORRECT ANSWERS 1:10 What is aseptic technique? CORRECT ANSWERS A set of practices and procedures performed under carefully controlled conditions with the goal of minimizing contamination by pathogens. List three blood borne pathogens that may be found in a dialysis unit? CORRECT ANSWERS Hep B, Hep C & HIV What is an exposure incident? CORRECT ANSWERS A blood/body fluid splash or spray occurring to the eyes, nose or mouth or to non-intact skin. A contaminated sharps injury is also considered an exposure incident. What steps should you take during an exposure incident? CORRECT ANSWERS 1. Wash/rinse the area 2. Report incident to the clinical manager or charge nurse (if CM not present) 3. Seek medical treatment w/in 1-2 hrs (exposure tx and counseling) 4.OSHA documentation and workman's comp documentation as applies Why are Hep B patients dialyzed in isolation rooms? CORRECT ANSWERS -Hep B is extremely contagious -It can live outside the body for up to 7 days Why are Hep C patients dialyzed in the clinic area and not in isolation? CORRECT ANSWERS -Hep C is not as contagious as Hep B -It does not survive very long on the outside of the body What blood test indicates infection with Hep B? CORRECT ANSWERS HbsAg is the test for the Hep B antigen. This indicates actual viral presence. Which blood test indicates the presence of immunity against Hep B? CORRECT ANSWERS HbsAb is the test for the antibodies. It indicates the presence of immunity against Hepatitis B. Which vaccine provides long-term immunity to Hep B? CORRECT ANSWERS Multiple injections of either Recombivax or Engerix vaccine. They help produce Hep B antibodies How is TB spread? CORRECT ANSWERS Airborne droplets from infected individuals How do you prevent TB in the clinic? CORRECT ANSWERS Active TB patients cannot dialyze in clinics. Pt must have 3 consecutive negative sputum cultures before the can return dialyzing in clinic.