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53 Cards in this Set
- Front
- Back
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What are the two types of dialysis? A) Continuous renal replacement therapy and Peritoneal dialysis. B) Hemodialysis and Peritoneal Dialysis C)Hemofiltration and Peritoneal Dialysis D) Hemodialysis and continuous renal replacement. |
B) Hemodialysis and Peritoneal
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How are dialysis clinic paid by Medicare for treatments? A) Separate Billing B) Contract Billing C) Prospective payment system bundles D) Composite rate |
C) Prospective Payment system bundles
(often referred to as "bundles") |
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What does "pay for performance" mean? A) Medicare pays the clinic for each dialysis treatment. B) Clinics that don't meet certain quality standards will have their payments cut. C) billing cannot be done until after treatments are given. D) Patients track the clinics performance and decide if the clinic should be paid. |
B) Clinics that don't meet certain quality standards will have their payments cut.
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Which of the following are dialysis clinics required to work with? A) centers for Medicare and Medicaid services. B) National Kidney Foundation C) Renal Physicians Ass. D) ESRD Networks |
ESRD Networks |
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Which of the following is a responsibility of the ESRD Networks? A) Collect and report data B) Handle patient grievances C) help clinics with conflicts D) Promote rehab E) All of the above |
E) All of the Above
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What are "clinical practice guidelines"? A) Efforts to improve patient outcomes by finding best practices. B) ESRD Network quality improvement efforts C) Medicare rules for what dialysis clinics must do. D) the measure assessment tool. |
A)Efforts to improve patient outcomes by finding best practices.
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Which of these steps of the CQI process? A) Implement the PDCA cycle B) Write a long article about the problem C) Develop a hypothesis D) consult an expert |
A) Implement the PDCA cycle
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What is a Nephron made of? A) A glomerulus and a tubule B) A nephron and a pyramid C) a loop of Henle and a capillary ball D) a ureter and an afferent arteriole |
A) A glomerulus and a tubule
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What is the most common cause of kidney failure in the us? A)Hypertension B) Glomerulonephritis C) Diabetes D) Urinary obstruction |
C) Diabetes
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Which of these is caused by a build up of wastes in the blood? A) Anemia B) Uremia C) Swelling of the face, hands and feet |
B) Uremia
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What causes Secondary hyperparathyroidism? A) The kidneys no longer make active vitamin D. B) the kidneys no longer remove enough water from the blood. C) The kidneys no longer make erythropoietin |
A) the kidneys no longer make active vitamin D
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Which of theses substances are electrolytes? A) Carbon B) Calcium C) Iridium D) Sodium E) A and C F) B and D |
F) B and D
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Which word means too much Potassium? A) Hypocalcemia B) Hypercalcemia C) Hypokalemia D) Hyperkalemia |
D) Hyperkalemia
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What is a patients dry weight? A) The weight after dialysis when all, or most of the excess water is gone and patients vitals are stable. B) The weight gained between treatments C) The weight to be removed during treatment |
A) The weight after dialysis when all, or most of the excess water is gone and patients vitals are stable.
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Mrs. M asks to be taken off treatment early, what do you say? A) "sure, why not a few minutes wont hurt." B) "I'm sorry our clinic policy does not allow it." C) " I understand, however you need every minute of treatment you can get to avoid complications after dialysis." |
C) " I understand, however you need every minute of treatment you can get to avoid complications after dialysis."
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What is a solution made of? A) water and blood B) Alcohol and water C) a solvent and a solute D) water and sodium |
C) a solvent and a solute
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A semipermeable membrane is a filter that: A) allows only certain sized particles pass through. B) prevents contamination C) Freely lets all particles pass through D) keeps all the water and solutes from passing through. |
A) allows only certain sized particles pass through.
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What happens in diffusion? A) water moves through a membrane from an area of higher concentration to a lower one. B) Solutes move through a membrane from an area of higher concentration to a lower. C) Solutes move through a vacuum that forms when fluids are forced through a membrane. D)water moves through a membrane for an area of lower concentration to higher. |
B) Solutes move through a membrane from an area of higher concentration to a lower.
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Which of these best describe osmosis? A) a vacuum formed when we force fluids through a membrane. B) Fluids kept apart by a membrane flow in the same direction. C) solvents move through a membrane from higher solute concentration to a lower. D) water moves through a membrane from a lower solute to a higher. |
D) water moves through a membrane from a lower solute to a higher.
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What role does ultrafiltration play in dialysis? A) removes wastes from the blood. B) Moves solvents from the blood side to the dialysate side. C)helps the patients kidneys recover. D) removes water from the patients blood. |
D) removes water from the patients blood.
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which of these is the intravascular fluid compartment? A) fluid inside the cells. B)blood inside the blood vessels C) fluid between cells D)fluid inside the dialyzer |
B)blood inside the blood vessels
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What type of pressure is applied when the blood pump pulls blood through a needle? A) negative B) positive C) hydraulic D) none |
A) negative
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what is a gradient? A) a rating B) a heating scale C) a solute level D) a difference |
D) a difference
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why are synthetic dialyzers more biocompatible? A)They mimic the peritoneal cavity. B) They absorb more proteins from the blood. C) They have higher ultrafiltration coefficients. |
B) They absorb more proteins from the blood.
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Which of these ways remove solutes? A) Convection B) Suction C) surface area D) Irradiation |
A) Convection |
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What are the two compartments of a dialyzer? A) conventional B) Arterial and Venous C) Blood and Dialysate D) Hollow fiber and Flat plate |
C) Blood and Dialysate
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Which of these substances will be included in the patients prescription? A) Bicarbonate, Sodium, Potassium B) Magnesium, Creatinine, Calcium C) Chloride, Glucose, Urea D) Beta-2-microglobulin,Calcium, Sodium |
A) Bicarbonate, Sodium, Potassium
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What is the purpose of the proportioning system? A) Monitors the dialysate flow. B) Monitors blood leaks. C) Checks the conductivity of the dialysate. D) Makes dialysate by mixing fresh concentrate with fixed amounts of treated water. |
D) Makes dialysate by mixing fresh concentrate with fixed amounts of treated water
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what condition occurs due to the dialysate being too hot? A) Hypersensitive reaction. B) Hemolysis C) Pyrogenic reaction D) Septicemia |
B) Hemolysis
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Which best describes the transducer protector? A) a pump that moves the blood through the extracorporeal circuit. B) a mechanical device in the machine that converts air pressure into electronic signal. C) Tubing that removes water from the blood. |
B) a mechanical device in the machine that converts air pressure into electronic signal.
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When assessing a fistula which complication would you listen for before starting dialysis? A) Bruit B) Stenosis C) Thrill D) Steal syndrome |
B) Stenosis
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What is Aseptic? A) free from all germs B) Free from disease causing germs C) Blood poisoning D) Clean and sterile |
B) Free from disease causing germs
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A pulse of 104 beats per minute would suggest that the patient has: A) Bradycardia B) An arrhythmia C) Tachycardia D) Atrial flutter |
C) Tachycardia
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The normal range of resting respirations in an adult is: A) 12 to 16 bpm B) 20 to 40 bpm C) 30 to 50 bpm D) 50 to 60 bpm |
A) 12 to 16 bpm
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What is the purpose of priming lines and the dialyzer? A) To remove air and germicide from the lines and dialyzer. B) To be sure fibers are completely filled with germicide before starting dialysis. C) To maintain fiber noncompliance until dialysis begins. |
A) To remove air and germicide from the lines and dialyzer
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which of the following is a cause of hypotension during and after dialysis? A) Uremia B) Patient forgets to take blood pressure pill C) Fluid overload D) Removing too much fluid |
D) Removing too much fluid
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What is the main reason that dialyzers are reprocessed? A) Reprocessing is a cost saving measure B) Reprocessing shortens the dialysis tx. C) Reprocessing is safer D) Reprocessing reduces the amount of plastic in the refill. |
A) Reprocessing is a cost saving measure
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Which organization set the standards for dialyzer reprocessing? A) FDA B) CDC C) AAMI D) HCFA |
C) AAMI
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Which test needs to be done on new dialyzers? A) Hgb (hemoglobin) B) TIBC (total iron binding cap.) C) CBC (complete blood count) D) TCV (total cell volume) |
D) TCV (total cell volume)
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The steps for reprocessing after a dialysis treatment are: A) Pre-cleaning, Performance testing, dialyzer rejection, Disinfection B) Labeling, TCV, Performance, Disinfection C) Pre-cleaning, TCV, Dialyzer rejection, disinfection |
A) Pre-cleaning, Performance testing, dialyzer rejection, Disinfection
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Which of these is a germicide used for dialyzer reprocessing? A) Alcohol B) Peracetic acid C) Hydrogen Acid D) Bleach |
B) Peracetic acid
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The definition of contact time is: A) How long the germicide is rinsed through the dialyzer. B) how long between uses C) How long the germicide must stay in the dialyzer to work. D) The time it takes to reprocess. |
C) How long the germicide must stay in the dialyzer to work.
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Who must check a reprocessed dialyzer to verify the quality control information? A) The patient, if her or she can see well enough B) Two people, one of whom should be the patient C) two RN's and a Tech. |
B) Two people, one of whom should be the patient
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Which best describes the Dialyzer Reprocessing Manual? A) A record of the dates and results B) summary of all reuse specifications, polices, procedures, training material, manuals and methods. C) a log of dates of preventive maintenance, repairs and results of testing |
B) summary of all reuse specifications, polices, procedures, training material, manuals and methods.
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Why must water used for dialysis be treated? A) patient's have strict fluid limits B) patients drink large amounts of water C) patients are exposed to large volumes of water during dialysis |
C) patients are exposed to large volumes of water during dialysis
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Which of these substances are often added to city drinking water? A) Bleach B) Zinc C) Potassium D) Alum |
D) Alum
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What does a water softener do for dialysis water? A) Removes calcium and magnesium B) removes Chlorine and chloramines C) adds calcium and magnesium D) kills bacteria |
A) Removes calcium and magnesium
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Which of these is a limitation of a RO system? A) removes bacteria but not endotoxins B) Removes calcium and magnesium C) Thin Film Composite membranes break down when exposed to chlorine and chloramines. D) Produces purified water |
C) Thin Film Composite membranes break down when exposed to chlorine and chloramines.
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Which is the most common way that the RO system is disinfected? A) using heat B) using ozone C) using chemicals D) using electrolytes |
C) using chemicals
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What type of reactions may occur if dialysis water contains bacteria or endotoxins? A) Blurred vision B) Pyrogenic C) Bone disease D) Double vision |
B) Pyrogenic
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Per AAMI standards, how often should dialysis water be tested for bacteria? A) Daily B) Hourly C) Monthly D) Yearly |
C) Monthly
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Per AAMI standards, the total microbial count of the dialysate shall not exceed: A) 200 CFU/mL B) 400 CFM/mL C) 800 CFM/mL D)1000 CFM/mL |
A) 200 CFU/mL
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What problem can large amounts of aluminum in dialysis water cause for patients? A) Fever and chills B) Liver problems C) Bone disease D) Diarrhea |
C) Bone disease
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