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Questions and Answers

How often is AAMI Chemical Analysis of water used for hemodialysis tested?

annually

Which approach should the dialysis technician use when interacting with a blind 58-year-old patient?

  • Avoid verbal communication.
  • Speak loudly to grab the patient's attention.
  • Describe the activities in the immediate environment. (correct)
  • Lead the patient by the arm without warning.

    • What should the dialysis technician do when observing a drop of blood on a patient's hemodialysis machine?

  • Wait for a supervisor to check it.
  • Continue with treatment without addressing it.
  • Ignore it, it's not a big deal.
  • Clean the machine surface immediately. (correct)

    • Which of the following poses an environmental risk on the treatment floor?

    <p>About one ounce (30 mL) of fluid is on the floor.</p> Signup and view all the answers

    In addition to politely declining a patient's invitation to dinner, what should the dialysis technician do?

    <p>Refer the patient to the social worker.</p> Signup and view all the answers

    What connects an artery to a vein?

    <p>A fistula</p> Signup and view all the answers

    What marker is used to determine the middle molecule clearance of a dialyzer?

    <p>Vitamin B12</p> Signup and view all the answers

    What does a mixed-bed DI tank contain?

    <p>Cations and anions</p> Signup and view all the answers

    A nephron is made up of?

    <p>A glomerulus and a tubule system</p> Signup and view all the answers

    What should the technician suspect if there is swelling distal to the venous needle site and rising venous pressure?

    <p>An infiltration</p> Signup and view all the answers

    What syndrome is a patient receiving their first dialysis treatment prone to?

    <p>Dialysis disequilibrium syndrome</p> Signup and view all the answers

    Which of the following foods is highest in potassium?

    <p>Bananas</p> Signup and view all the answers

    What does a slow pulse of 54 beats per minute indicate?

    <p>Bradycardia</p> Signup and view all the answers

    Why is a dialysis technician required to be certified?

    <p>It's a new federal regulation</p> Signup and view all the answers

    What does a rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicate?

    <p>Clotting of the extracorporeal circuit</p> Signup and view all the answers

    If a teammate asks you to document normal saline he just gave to a patient, what should you do?

    <p>Never document something that someone else did.</p> Signup and view all the answers

    Why can a true aneurysm be dangerous?

    <p>It may rupture and cause the patient to bleed profusely</p> Signup and view all the answers

    What should the technician seek to answer if BUN levels were lower pre-dialysis than post-dialysis?

    <p>Was the predialysis sample drawn from the venous port?</p> Signup and view all the answers

    A rapid pulse of 104 beats per minute indicates that the patient has?

    <p>Tachycardia</p> Signup and view all the answers

    A patient's dry weight is 154.0 lb (70 kg). The patient's pre-treatment weight is 158.4 lb (72 kg). For a four-hour treatment, how many mL/hour must the patient lose to reach dry weight?

    <p>500</p> Signup and view all the answers

    What is the standard for the total microbial count of dialysate according to AAMI?

    <p>200 CFU/mL</p> Signup and view all the answers

    What electrolyte's abnormal levels can cause cardiac arrhythmias and even death?

    <p>Potassium</p> Signup and view all the answers

    What are acceptable interdialytic weight gains?

    <p>3-5% EDW</p> Signup and view all the answers

    According to AAMI, what is the standard level for endotoxin levels?

    <p>Less than two (2) EU/mL</p> Signup and view all the answers

    By what date must all dialysis technicians be certified according to the new Conditions for Coverage?

    <p>4/15/2010</p> Signup and view all the answers

    Albumin is an important test that tells about the patient's __________ status.

    <p>nutritional</p> Signup and view all the answers

    Which of the following is NOT a phosphate binder?

    <p>Vitamin B12</p> Signup and view all the answers

    What is asepsis defined as?

    <p>The absence</p> Signup and view all the answers

    Study Notes

    AAMI Standards and Testing

    • AAMI Chemical Analysis of water used for hemodialysis is conducted annually.
    • AAMI standards for microbial count in dialysate must not exceed 200 CFU/mL.
    • Endotoxin levels according to AAMI standards are less than 2 EU/mL.

    Patient Interactions and Care

    • Describe activities in the environment when interacting with blind patients to ensure comfort.
    • Refer patients expressing feelings of loneliness or depression to a social worker for further support.
    • Always clean the surface of the hemodialysis machine immediately upon observing blood.

    Environmental Safety

    • A one-ounce (30mL) fluid spill on the floor poses an environmental risk on the treatment floor.

    Patient Anatomy and Treatment

    • A fistula connects an artery to a vein, essential for hemodialysis access.
    • An infiltration is suspected when there is swelling and rising venous pressure at the needle site during treatment.
    • The nephron comprises a glomerulus and a tubule system, integral for kidney function.

    Dialysis Considerations

    • First dialysis treatment patients are at risk for dialysis disequilibrium syndrome.
    • Albumin levels reflect a patient’s nutritional status, significant for overall health in dialysis patients.
    • Acceptable interdialytic weight gains are typically between 3% to 5% of estimated dry weight (EDW).

    Electrolyte Levels and Monitoring

    • High potassium levels can cause serious cardiac arrhythmias and can be life-threatening.
    • Foods high in potassium include bananas, which should be limited in a dialysis patient’s diet.

    Heart Rate and Conditions

    • A heart rate of 54 beats/minute indicates bradycardia; 104 beats/minute indicates tachycardia.
    • Bradycardia and tachycardia are important vital signs to monitor in dialysis patients.

    Documentation and Practice

    • Never document actions performed by someone else; always record your own interventions.
    • Documenting a teammate’s administration of saline is not permissible.

    Miscellaneous

    • Vitamin B12 is used as a marker to determine middle molecule clearance in dialysis.
    • Cations and anions are present in a mixed-bed DI tank, critical for water quality in dialysis.
    • Common phosphate binders include Renagel and Phos-Lo; Tums is not a phosphate binder.

    Certification and Regulations

    • Federal regulation requires all dialysis technicians to be certified by April 15, 2010.

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    Description

    Test your knowledge with Davita Star Learning Flashcards focused on hemodialysis and patient interaction strategies. This quiz covers best practices in care, chemical analysis, and communication techniques for dialysis technicians. Perfect for healthcare professionals eager to enhance their skills in dialysis settings.

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