Questions and Answers
To properly collect a post BUN sample, it is necessary to turn off the ____________________.
UF Rate
To determine the adequacy of dialysis treatment, evaluate the _____________________ laboratory values.
blood urea nitrogen (BUN)
When removing a needle from an internal access, the needle safety device should be:
When a conductivity alarm occurs, the machine enters _____________.
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When teaching a patient about the prevention of hypotension during treatment, the nurse should instruct the patient to measure the daily _______________ including foods that ___________ at room temperature.
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The first thing you should do if a fistula needle has infiltrated is to turn off the ___________.
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A rise in transmembrane pressure (TMP) during hemodialysis is likely to indicate ______________.
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Sharps containers MUST be replaced when they are ____ and ____ full.
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Draw PRE-treatment lab samples after _________________ and before _____________ is administered.
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Draw POST-treatment lab samples after _________ and before ________ is administered.
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You should draw samples for the BUN immediately after treatment ends because BUN levels __________ ___________.
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Always draw lab samples from the ___________________ line.
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Draw pre and post BUN samples on the same _____.
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What happened if the wall clock indicates the patient has had 3 hours of treatment but the machine indicates only 2 1/2 hours?
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What PPE should you wear while disinfecting a dialysis station or cleaning a blood spill?
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What is required to be done with the HD machine when there are no Hepatitis B labs available for the client?
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What is a possible cause for incorrect NET Fluid Balance calculation in ACES?
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Which of the following is included in Fresenius Medical Care's mission statement?
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Dialysis functions include which of the following?
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When is hand sanitizer okay to use?
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What concentration of bleach is used to clean up a blood spill greater than 10ml?
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Which of the following is true about hand hygiene?
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Study Notes
UF Rate
- When collecting a post BUN sample, ensure the UF Rate is turned off.
Blood Urea Nitrogen (BUN)
- Evaluate blood urea nitrogen (BUN) laboratory values to assess the adequacy of dialysis treatment.
Needle Safety Device
- Engage the needle safety device when removing the needle from an internal access.
Bypass Mode
- The machine enters bypass mode during a conductivity alarm.
Patient Teaching on Hypotension
- Instruct patients to monitor daily food intake, including items that melt at room temperature, to prevent hypotension during treatment.
Blood Pump
- Turn off the blood pump immediately if a fistula needle infiltration occurs.
Clotted Fibers
- A rise in transmembrane pressure (TMP) during hemodialysis typically indicates clotted fibers.
Sharps Containers
- Replace sharps containers when they are two-thirds (2/3) and three-quarters (3/4) full.
Cannulation and Heparin
- Draw pre-treatment lab samples after cannulation and before heparin administration.
Treatment Lab Samples
- Collect post-treatment lab samples after treatment completion and before rinsing back.
BUN Sampling Timing
- BUN levels change rapidly; samples should be drawn immediately after treatment ends.
Arterial Line Samples
- Always draw lab samples from the arterial line to ensure accuracy.
Pre and Post BUN Samples
- Draw pre and post BUN samples on the same day for consistency.
Treatment Duration Confusion
- If the wall clock indicates 3 hours of treatment but the machine shows only 2.5 hours, the machine was likely in bypass for 30 minutes.
Personal Protective Equipment (PPE)
- Required PPE for disinfecting a dialysis station includes gloves, gown, face shield or mask, and goggles.
Internal Bleach Disinfection
- Perform internal bleach disinfection on the HD machine if there are no Hepatitis B labs available.
Treatment Balances Calculation Issues
- Missing prime and rinseback volume documentation can lead to incorrect NET Fluid Balance calculations in the ACES system.
Fresenius Medical Care Mission
- Fresenius Medical Care aims to improve the quality of life of patients, among other goals.
Dialysis Functions
- Key functions of dialysis include the removal of excess fluid and waste from the blood, not cholesterol lowering or preventing bacterial spread.
Hand Sanitizer Use
- Hand sanitizer is acceptable when leaving the patient station, not when hands are visibly soiled.
Blood Spill Cleanup
- Clean blood spills over 10ml using a concentration of 1:10 bleach followed by 1:100 dilution.
Hand Hygiene
- Hand hygiene with soap and water should last 40-60 seconds for effective sanitation.
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Description
This quiz features flashcards designed to help you prepare for the Fresenius Clinical Certification for Hemodialysis Technicians (CCHT). Each card presents key terms and concepts essential for understanding dialysis, including laboratory values and safety procedures. Enhance your knowledge and test your readiness for the certification exam.
