Exam (elaborations)
Fresenius Exam - 108 Questions And Answers
Fresenius Exam - 108 Questions And Answers
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Fresenius Exam - 108 Questions And AnswersWhat bleach solution must all surfaces be cleaned with? Correct Ans -
1:100
What bleach solution is used to disinfect large blood spills? Correct Ans -
1:10
What is aseptic technique? Correct Ans - 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 Ans - Hep B, Hep C & HIV
What is an exposure incident? Correct Ans - 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 Ans -
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 Ans - -
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 Ans - -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 Ans - 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 Ans - 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 Ans -
Multiple injections of either Recombivax or Engerix vaccine. They help
produce Hep B antibodies
How is TB spread? Correct Ans - Airborne droplets from infected
individuals
How do you prevent TB in the clinic? Correct Ans - Active TB patients
cannot dialyze in clinics. Pt must have 3 consecutive negative sputum cultures
before the can return dialyzing in clinic.
What are VRE & MRSA? Correct Ans - VRE: a group of gram-negative
bacteria that lve in he intestinal tract that can cause infection anywhere in the
body. They are resistant to several antibiotics. VRE can survive outside of the
body on surfaces for as long as seven days.
MRSA: different varieties staph bacteria. They are normally found on the skin
or in the nose of about 1/3 of people. When a person is infected they are
resistant to antibiotics commonly used to treat ordinary staph infections.
MRSA can survive outside the body for as long as 7 days.
What precautions do you take while caring for a MRSA/VRE patient?
Correct Ans - They do not need isolation but should be seated in the same
area as others infected. Proper designated PPE should be worn specifically for
those patients. HANDWASHING only 40-60 seconds. They need to have their
own bp cuff, stethoscope, tourniquet etc. Open wounds/ dressing should
never be changed in the clinic. CVC dressings should be disposed of in sharp
container.
What are the anatomical structures of the urnary system in order of urine
flow? Correct Ans - 1. 2 Kidneys
2. 2 Ureters
3. Bladder
4. Urethra
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