Exam (elaborations)
My Fresenius Exam Review (Knowledge Assess) – Questions & Answers
- Course
- Institution
My Fresenius Exam Review (Knowledge Assess) – Questions & Answers
[Show more]
Seller
Follow
LeCrae
Reviews received
Content preview
My Fresenius Exam Review (Knowledge Assess) –Questions & Answers
The role of the RN in a dialysis facility is to implement the ________ and the patient __________.
Correct Ans - Plan of care
Education plan
The number one cause of chronic renal failure is _______ Correct Ans - Diabetes
When going from a dirty area to retrieve supplies in a clean area, staff are required to
complete ________ __________. Correct Ans - hand hygiene
Hazardous Material Identification System (HMIS) labels are required on all ______ ______,
including individual bicarbonate containers. Correct Ans - hazardous materials
What solution should be used to disinfect a large blood spill area (greater than 10mLs)?
______ part bleach, ____ parts water solution Correct Ans - 1 part bleach, 10 parts
water
The main route of transmission of Hepatitis B in hemodialysis facilities by exposure to
infected ______ and ______ Correct Ans - Infected blood and bodily fluids
When caring for a patient who is hepatitis B positive, after disconnecting the lines, the
technician MUST perform which 3 actions before documenting? Correct Ans -
Remove gloves, sanitize hands, and put on a fresh pair of gloves
According to the CDC, patients who are Hepatitis B surface antigen (HBsAg) positive should
be dialyzed in a ________ area of the dialysis center, on a _____________ machine Correct
Ans - Separate
Dedicated
What PPE should you wear when documenting in the isolation room? Correct Ans -
Wear clean gloves
The dialysis technician has performed a rinse back on a patient and failed to gather all the
supplies needed to disconnect the patient. What 2 things MUST the dialysis technician do
prior to getting clean supplies? Correct Ans - Remove gloves, wash/sanitize hands,
and retrieve items
Urine flows from the ______, through the _________, to the _________, to the ___________ to the
_______. Correct Ans - Kidneys
Ureters
,Bladder
Urethra
The transmembrane pressure (TMP) measures the ________ difference across the dialyzer
membrane Correct Ans - Pressure
_________ is the term used to describe the movement of fluid through an extracorporeal from
an area of low solute concentration to an area of high concentration. Correct Ans -
Osmosis
_______ can be defined as the movement of particles through a semi-permeable membrane
from a greater to a lesser concentration Correct Ans - Diffusion
A major factor affecting ultrafiltration is Correct Ans - Pressure
A rise in _______________ during hemodialysis is likely to indicate clotted fibers Correct
Ans - Transmembrane pressure (TMP)
Water in the dialysate may also be referred to as ___________ water Correct Ans -
Reverse osmosis (RO) water
A ______________ is considered the access of choice because they have the lowest complication
rate. Correct Ans - A fistula
A patient with severe hypertension is to start hemodialysis. The patient does not have
diabetes or cardiac problems. What type of access is preferable? Correct Ans -
Arteriovenous fistula
Counter current flow of blood and dialysate increases the rate of ____________ Correct
Ans - Diffusion
Use of a disafe filter allows the production of _________ Correct Ans - Ultrapure
dialysate
_________ is the ability of a substance to conduct an electrical charge. Correct Ans -
Conductivity
Normal ________ is used to rinse and prime the tubing of the extracorporeal circuit to remove
sterilant and air Correct Ans - Saline
Air is removed from the extracorporeal circuit before initiating treatment because it may
cause _________ when trapped in the dialyzer Correct Ans - Clotting
The most likely cause of contamination of the extracorporeal circuit are _________ in the
prime bucket with ___________ end caps Correct Ans - Bloodlines
Open
, A low-level arterial drip chamber can result in ______ entering the system causing an air
embolism or clotting Correct Ans - Air
When blood escapes from the dialyzer blood compartment (dialysate fiber) into the
dialysate fluid compartment, this is known as a ____________ Correct Ans - Blood leak
Dialysate is used for in center hemodialysis is:
A) sterile
B) non-sterile Correct Ans - B) non-sterile
Who ultimately determines the dialysate bath used for a patient's treatment? Correct
Ans - Physician ONLY
Individual acid containers must be ___________ with chemical content Correct Ans -
Labeled
3 solutes that may be present in a prescribed dialysate solution Correct Ans -
Sodium (bicarbonate)
potassium (acid)
calcium
Besides potassium, an electrolyte that is commonly adjusted in the hemodialysis acid bath
is Correct Ans - Calcium
The 3 ingredients in a dialysate solution/bath are: Correct Ans - Acid, bicarbonate,
and RO water
A major complication that can occur when the patient is dialyzed on hypotonic dialysate is
______ Correct Ans - is Hemolysis
The _______ area of the dialyzer has the most impact on dialyzer clearance Correct Ans -
Surface
Which of the following would ADVERSELY affect clearance?
A) blood flow rate at 700 ml/min
B) air in dialyzer Correct Ans - B) air in dialyzer
The online clearance goal for hemodialysis is a spKt/V of ________ Correct Ans - 1.4
Dialysis is affected by these 4 things:
•Dialysate ________ rate
•Dialysis __________time
•Dialyzer _________ area
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82191 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now