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CCHT practice Exam/300 questions and Answers
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- CCHT Practice Exam/300 Questions And Answers
CCHT practice Exam/300 questions and Answers
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CCHT practice Exam/300 questionsand Answers
which of the following terms indicates a solution that has the same
concentration of solutes as blood? - -isotonic
-a patient's potassium levels has been running high between dialysis
treatment, so the patient has been working with the renal dietician to restrict
potassium in the diet. which of the following fruits should the patient avoid? -
-bananas
-during osmosis, which of the following movements takes place? - -fluid
moves from an area of lower concentration to higher.
-a patient's granddaughter calls the dialysis center and asks for a progress
report on her father, who is a patient in the center. the technician should. - -
state that patient information cannot be divulged
-if a hematoma forms at the access site where a needle infiltrated, the usual
intervention is to apply - -cold compresses
-which of the following actions by a patient increases the risk of blood clots
in a venous access? - -wearing a top with very tight- fitting long sleeves
-a patient is very anxious during an initial hemodialysis treatment and
requires extra attention. when the treatment is completed, the patient offers
a $20 tip. the technician should - -politely decline the tip
-which of the following statements by a hemodialysis patient suggests that
the patient needs more education? - -i should stay on a low protein diet.
-the inner part of the kidney is the - -medulla
-a nephron is comprised of a glomerulus and a - -tubule
-how much urine does a patient with healthy kidneys usually excrete in 24
hours? - -1000 to 2000mL
-when removing soiled gloves, the first glove removed should be. - -grasped
in the opposite gloved hand
-which of the following hormones is produced by the kidneys? - -
erythropoietin
, -at which stages of chronic kidney disease should a patient being dialysis? -
-5
-which of the following is a genetic disorder that can lead to kidney failure? -
-polycystic kidney disease
-which of the following complains by a patient may be an indication of
uremia? - -itching
-a patient with a right-sided radiocephalic A fistula (above the wrist) needs
to have blood test in the lab for a number of different lab test. the blood
should be drawn from the - -left hand
-when setting up hemodialysis equipment, the four thing that need to be
checked are [ 1 ] dialysate, [ 2] extracorporeal circuit, [ 3] dialyzer and, [ 4] -
-machine alarm
-generally, the optimal dialysate flow rate for hemodialysis should be - -1.5
to 2 times the blood flow rate
-a patient is receiving hemodialysis with a dialyzer with an ultrafiltration
coefficient [ kuf ] of 10 and a transmembrane pressure [TMP] of 100 mm hg.
how much fluid should the patient lose per hour of treatment - -1000 mL
-under what circumstances can needle be reused for hemodialysis? - -under
no circumstances
-if a emergency ( such as a tornado ) occurs and patients need to be
evacuated, which group of patient should be disconnected from dialysis
machine first? - -patients able to ambulate independently
-for patients on hemodialysis a, 1 kg (2.2 lb.) increased in weight in 24 hours
is approximately equivalent to fluid retention of - -1.0 L.
-a patient has been advised to avoid foods high in phosphorus. food that the
patient should be advised to limit include. - -dairy products
-a patient is scheduled for serum creatinine test and asks the technician
about preparation the day before the test. the patient should be advised to. -
-avoid excessive exercise
-which of the following ethnic group is most at risk for development of
kidney failure? - -african american
, -a patient has buttonhole tracts for access. after the access is cleaned and
prepped for treatment, what is the next step? - -use a crab picker/ aseptic
tweezer to remove the scabs
-with buttonhole tracts, the technician should apply pressure as the needle
are removed and then for - -5 to 10 minutes
-if a buttonhole access frequently has long clots that are very difficult to
remove, the most likely reason is - -failure to use 2-finger hold for needle
removal
-a patient who had an AV fistula in the forearm developed an aneurysm and
has had to have a new AV fistula created in the upper arm. the patient has a
temporary catheter in place for dialysis until the fistula has matured. which
of the following exercise may help strengthen the AV fistula? - -bicep curl
-with buttonhole access sites, what should the technician do to prevent ''
hubbing " ? - -leave 1/16 th to 1/8 inch of the needle exposed
-if a patient has a dialyzer clearance rate of 250 mL/ min with 4- hour
treatment, the total volume of blood cleared is - -60 L.
-what is the most important factor in preventing exsanguination from
dialysis line separation? - -access site visible
-if a patient states that she has been skipping lunch because she is too tired
to eat after dialysis, the best solution is to. - -report to the nurse and renal
dietician
-if a patient exhibits signs and symptoms of hemolysis during dialysis, the
immediate action should be to - -stops the blood pump and clamp the blood
lines
-the amount of dialysis that a hemodialysis patient is prescribed is based on
the removal of - -urea
-maturation of a prosthetic arteriovenous graft usually takes - -3 to 6 weeks
-the purpose of the negative germicide test is to ensure that - -the
reprocessed dialyzer is free of germicides
-if a patient develops angina (chest pain) radiating to the neck, jaw, and left
arm and the patient's blood pressure drops during treatment, the technician
should notify the nurse and - -decreased blood flow rate and ultrafiltration
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