Fresenius Nurse Final Exam Part 1 with complete solutions

The 3 reasons that dialysis is a high risk area: 1. There is frequent exposure to blood 2. Patients & Staff are in close proximity 3. Dialysis patients are immunocompromised All dialysis surfaces must be disinfected with _____ bleach solution until surfaces is glistening _____ and then allow to 1:100/ wet/ air dry 00:11 01:51 A ______ bleach solution is used to disinfect a large spill greater than ______ 1:10/ 10 ml The following are examples for what process: during initiation and termination of dialysis; cannulation of an access; needle adjustment; changing a transducer; setting up a dialysis machine Examples of procedures where exposure may occur and PPE must be worn What 3 blood borne pathogens are found in a dialysis unit? hep b, hep c, and HIV What steps should you take in the event of an exposure incident? 1. Wash/ rinse area immediately 2. Report incident to clinical manager or charge nurse 3. Seek medical tx within 1-2 hrs Hep B is extremely contagious and can live in the environment and remain viable on surfaces for at least ____ days 7 How are Hep B patients dialyzed? In an isolation room with their own dedicated equipment such as BP cuff and stethoscope, tourniquet, etc These should be used to work on computer information in the isolation room. Clean Gloves True or False? Tx sheets and medical records can enter the isolation room False: If tx sheets are used, the tx sheets cannot enter the isolation room. Nor can medical records Staff members should not care for these two types of patients on the same shift at the same time. HBV and patients that are susceptible to HBV Where do hep c patients dialyze and why? In the clinical area, hep c is not contagious and is is not known to survive for very long outside of the body 00:00 01:51 How is hep c transmitted? Through contaminated blood transfusions in the past or from sexual contact How is hep a transmitted? contaminated food and the oral-fecal route