Mystery Questions-2

Front 1

Mr. Jackson arrives in a wheelchair weighing 91.2 kg. The wheelchair weighs 10.2 kg. His edw 78.5 kg and the clinic rents back is 400 cc. Wall going over your pretreatment data collection the patient asks you to remove less or more for this treatment how should this be handled?

Back 1

Advise the patient that you will need to refer this question to the charge nurse

Front 2

A patient reports for dialysis with complaints of generally feeling poorly. Patient assessment reveals an elevated apical pulse, elevated blood pressure, scattered rails and 2+ jugular venous distention. What complication may be anticipated during the dialysis treatment?

Back 2

Cramping, nausea, disequilibrium syndrome

Front 3

Within the first hour treatment, a patient complains of chills and hypotensive, the technician should suspect

Back 3

Pyrogen reaction

Front 4

What complication usually occurs within the first hour of treatment?

Back 4

Pyrogen reaction or Septicemia

Front 5

1 and infiltration occurs, steps are taken to protect the patients access. What steps should be taken

Back 5

An infiltration is most likely to occur on the venous needle, therefore in most instances you would need to recalculate the patient's venous needle.

Front 6

Which needle returns blood to the patient's body?

Back 6

Venous needle

Front 7

If the patient is showing signs and symptoms of an air embolism what should be done?

Back 7

Immediate attention is essential comma venous and arterial line need to be clamped, and treatments is stopped, the patient is placed in Trendelenburg position

Front 8

The dialysis technician is required to show professionalism in their actions in the workplace. What would not represent a professional demeanor?

Back 8

Speaking in a language other than that used for business

Front 9

When communicating in a perceptive relationship, what technique create an atmosphere of Tolerance?

Back 9

Expressing doubt

Front 10

Secondary hyperparathyroidism can be treated with oral or intravenous medications. What are the two main medications used?

Back 10

Cinacalcet (sensipar) or vitamin D (zemplar / hectorol)

Front 11

There are two types of ultra filtration systems

Back 11

Volume metric system which controls the volume of dialysate to and from the dialyzer and flow control which controls the flow rate of the dialysate

Front 12

Peritoneal dialysis is home treatment for dialysis. This requires an access port for the patient to use. Access for peritoneal dialysis is placed through _________________________.

Back 12

The wall of the abdomen

Front 13

How many types of pressures are in the extracorporeal system?

Back 13

Three types of pressures in the extracorporeal system: 1. arterial (pre-pump) 2. pre-dialyzer (post pump) 3. venous (post-dialyzer)

Front 14

Dialysis treatment orders are written by the patient's nephrologist, a dialysis treatment order would include

Back 14

Length and frequency of the treatment, dialyzer brand, model, and size, dialysis composition, Heparin dose, blood flow and dialystate flow rates, ultrafiltration parameters

Front 15

True or false, always remember septicemia involve the same symptoms as pyrogen reaction. Pyrogen reaction can be prevented with proper disinfection techniques.

Back 15

True

Front 16

The URR estimates how much urea a treatment removes from a patient's blood which is key information in the process of hemodialysis, however it does not provide the following necessary information:

Back 16

It does not tell you how much extra time a patient with a low URR may need for an adequate treatment, the amount of urea a patient's body produces during a treatment, it does not reveal how much urea is removed by ultrafiltration during dialysis

Front 17

Creatinine level for General male should be

Back 17

0.5 - 1.5 mg / DL

Front 18

Creatinine level for General female should be

Back 18

0.5 - 1.3 mg / DL

Front 19

Creatinine in dialysis patients should be

Back 19

10 - 18 mg / DL

Front 20

____________________ is a waste product of muscle metabolism that is removed by healthy kidneys or dialysis

Back 20

Creatinine

Front 21

The centers for Medicare and Medicaid known as CMS pay for 80% of the cost of dialysis treatment. Patient would not have Medicare prior to beginning treatment must wait ____________ for coverage? Also, coverage begins ______________ if they train for home treatment?

Back 21

Three-four months, day 1

Front 22

__________ treatment would be appropriate for patients who are critically ill.

Back 22

Sled treatment

Front 23

What would be the best statement about dialyzers?

Back 23

There are different types of dialyzers, but they all have a series of parallel flow pads to provide a large surface area between the blood and dialysis membrane in between the membrane and dialysis fluid. Modern dialyzers generally use a combination of positive pressure in the blood compartment and negative pressure in the fluid compartment

Front 24

You must use _____________________ to take the cap off a bloodline?

Back 24

Use aseptic technique

Front 25

What is the purpose of a concentration gradient in dialysis?

Back 25

Forces waste out of the body

Front 26

URR should be more than

Back 26

65%

Front 27

Symptoms of a pyragenic reaction include chills, fever, muscle pain, nausea, vomiting and a low

Back 27

Blood pressure

Front 28

And I'll either reprocessing, the total cell volume must be _________________ to be used again.

Back 28

At or above 80%

Front 29

If the total cell volume has a 10% drop it equals a

Back 29

5% drop in urea clearance

Front 30

What stage of CKD is the patient in kidney damage with normal or increase GFR of 90 ml / minute

Back 30

Stage 1 CKD