CCHT practice questions and complete solutions 2024/2025

CCHT practice questions and complete solutions 2024/2025 which of the following terms indicates a solution that has the same concentration of solutes as blood? - CORRECT ANSWER-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? - CORRECT ANSWER-bananas during osmosis, which of the following movements takes place? - CORRECT ANSWERfluid 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. - CORRECT ANSWERstate that patient information cannot be divulged if a hematoma forms at the access site where a needle infiltrated, the usual intervention is to apply - CORRECT ANSWER-cold compresses which of the following actions by a patient increases the risk of blood clots in a venous access? - CORRECT ANSWER-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 - CORRECT ANSWER-politely decline the tip which of the following statements by a hemodialysis patient suggests that the patient needs more education? - CORRECT ANSWER-i should stay on a low protein diet. the inner part of the kidney is the - CORRECT ANSWER-medulla a nephron is comprised of a glomerulus and a - CORRECT ANSWER-tubule how much urine does a patient with healthy kidneys usually excrete in 24 hours? - CORRECT ANSWER-1000 to 2000mL when removing soiled gloves, the first glove removed should be. - CORRECT ANSWER-grasped in the opposite gloved hand which of the following hormones is produced by the kidneys? - CORRECT ANSWERerythropoietin at which stages of chronic kidney disease should a patient being dialysis? - CORRECT ANSWER-5 which of the following is a genetic disorder that can lead to kidney failure? - CORRECT ANSWER-polycystic kidney disease which of the following complains by a patient may be an indication of uremia? - CORRECT ANSWER-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 - CORRECT ANSWER-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] - CORRECT ANSWERmachine alarm generally, the optimal dialysate flow rate for hemodialysis should be - CORRECT ANSWER-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 - CORRECT ANSWER-1000 mL under what circumstances can needle be reused for hemodialysis? - CORRECT ANSWER-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? - CORRECT ANSWER-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 - CORRECT ANSWER-1.0 L. a patient has been advised to avoid foods high in phosphorus. food that the patient should be advised to limit include. - CORRECT ANSWER-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. - CORRECT ANSWER-avoid excessive exercise which of the following ethnic group is most at risk for development of kidney failure? - CORRECT ANSWER-african american a patient has buttonhole tracts for access. after the access is cleaned and prepped for treatment, what is the next step? - CORRECT ANSWER-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 - CORRECT ANSWER-5 to 10 minutes if a buttonhole access frequently has long clots that are very difficult to remove, the most likely reason is - CORRECT ANSWER-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? - CORRECT ANSWER-bicep curl with buttonhole access sites, what should the technician do to prevent '' hubbing " ? - CORRECT ANSWER-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 - CORRECT ANSWER-60 L. what is the most important factor in preventing exsanguination from dialysis line separation? - CORRECT ANSWER-access site visible