Questions and Answers
The role of the RN in a dialysis facility is to implement the __________ and the patient __________.
plan of care, education plan
The number one cause of chronic renal failure is __________.
diabetes
When going from a dirty area to retrieve supplies in a clean area, staff are required to complete hand hygiene.
True
Hazardous Material Identification System HMIS labels are required on all hazardous materials, including individual bicarbonate containers.
Signup and view all the answers
What solution should be used to disinfect a large blood spill area, greater than 10 mL?
Signup and view all the answers
The main route of transmission of Hepatitis B in Hemodialysis facilities is by exposure to infected __________ and __________.
Signup and view all the answers
When caring for a patient who is Hepatitis B positive, after disconnecting the bloodlines, the technician MUST perform which 3 actions before documenting?
Signup and view all the answers
According to CDC, patients who are Hepatitis B surface Antigen (HBsAg) positive should be dialyzed in a __________ area of the dialysis center, on a __________ machine.
Signup and view all the answers
What PPE should you wear when documenting in the isolation room?
Signup and view all the answers
What two things MUST the dialysis technician do prior to getting clean supplies after a rinseback on a patient?
Signup and view all the answers
Urine flows through the __________ from the kidneys, to the __________ to the __________, and to the __________.
Signup and view all the answers
The Transmembrane Pressure (TMP) measures the __________ difference across the dialyzer membrane.
Signup and view all the answers
__________ is the term used to describe the movement of fluid through a semi-permeable membrane from an area of low solute concentration to an area high solute concentration.
Signup and view all the answers
__________ can be defined as the movement of particles through a semi-permeable membrane from a greater to a lesser concentration.
Signup and view all the answers
A major factor affecting ultrafiltration is __________.
Signup and view all the answers
A rise in __________ during hemodialysis is likely to indicate clotted fibers.
Signup and view all the answers
Water in the dialysate may also be referred to as __________ water.
Signup and view all the answers
A __________ is considered the access of choice because they have the lowest complication rate.
Signup and view all the answers
What type of access is preferable for a patient with severe hypertension starting hemodialysis without diabetes or cardiac problems?
Signup and view all the answers
Countercurrent flow of blood and dialysate increases the rate of __________.
Signup and view all the answers
Use of a dialysate filter (diasafe) allows the production of __________.
Signup and view all the answers
__________ is the ability of a substance to conduct an electrical charge.
Signup and view all the answers
Normal __________ is used to rinse and prime the tubing of the extracorporeal circuit to remove sterilant and air.
Signup and view all the answers
Air is removed from the extracorporeal circuit before initiating treatment because it may cause __________ when trapped in the dialyzer.
Signup and view all the answers
The most likely cause of contamination of the extracorporeal circuit is: __________ are in the prime bucket with __________ end caps.
Signup and view all the answers
A low-level arterial drip chamber can result in __________ entering the system causing an air embolism or clotting.
Signup and view all the answers
When blood escapes from the dialyzer blood compartment into the dialysate fluid compartment, this is known as a __________.
Signup and view all the answers
Dialysate used for in-center hemodialysis is: sterile or non-sterile?
Signup and view all the answers
Study Notes
Role of RN in Dialysis
- Implement the plan of care and the patient education plan.
Chronic Renal Failure
- The leading cause is diabetes.
Hand Hygiene Protocol
- Staff must perform hand hygiene when transitioning from a dirty area to a clean area.
Hazardous Material Labels
- HMIS labels are mandatory on all hazardous materials, including bicarbonate containers.
Disinfection of Blood Spill
- Use a solution of 1 part bleach to 10 parts water (1:10) to disinfect large blood spills (>10 mL).
Transmission of Hepatitis B
- Main transmission routes in hemodialysis are through exposure to infected blood and body fluids.
Care for Hepatitis B Positive Patients
- Post-disconnection actions include removing gloves, sanitizing hands, and putting on fresh gloves before documenting.
Dialysis for HBsAg Positive Patients
- They should be dialyzed in a separate area on a dedicated machine.
PPE Guidelines
- Clean gloves should be worn when documenting in the isolation room.
Rinseback Procedure
- Before retrieving clean supplies, a technician must remove gloves, wash/sanitize hands, and then get the necessary items.
Urinary Tract Pathway
- Urine flows from the kidneys through the urinary tract, ureters, bladder, and exits through the urethra.
Transmembrane Pressure (TMP)
- TMP measures the pressure difference across the dialyzer membrane.
Osmosis
- Defined as the movement of fluid through a semi-permeable membrane from low to high solute concentration.
Diffusion
- Movement of particles through a semi-permeable membrane from higher to lower concentration.
Factors Affecting Ultrafiltration
- Pressure is a major factor influencing ultrafiltration.
TMP Increase During Hemodialysis
- An increase in TMP is indicative of clotted fibers.
Dialysate Water
- Refers to water treated through reverse osmosis (RO).
Fistula Access Choice
- A fistula is the preferred access type due to its lower complication rate.
Preferred Access for Severe Hypertension
- An arteriovenous fistula is recommended for patients without diabetes or cardiac issues.
Diffusion Enhancement
- Counter current flow of blood and dialysate amplifies diffusion rates.
Dialysate Filter Function
- The use of a dialysate filter (diasafe) produces ultra-pure dialysate.
Conductivity
- Refers to a substance's ability to conduct an electrical charge.
Saline in Dialysis
- Normal saline is used to rinse and prime the extracorporeal circuit, removing sterilants and air.
Air Removal Importance
- Air must be removed from the extracorporeal circuit prior to treatment to prevent clotting in the dialyzer.
Circuit Contamination Risk
- Bloodlines in the prime bucket with open end caps are likely causes of contamination.
Low-Level Arterial Drip Chamber Risk
- A low-level drip chamber can permit air into the system, causing potential air embolism or clotting.
Blood Leak Definition
- Occurs when blood escapes from the dialyzer blood compartment into the dialysate compartment.
Dialysate for In-Center Hemodialysis
- Dialysate used is classified as non-sterile.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers essential practices and protocols for registered nurses in dialysis settings. Topics include patient education, hygiene protocols, and safety measures for handling hazardous materials and infectious diseases. Test your knowledge on maintaining safety and care standards for patients, particularly those with Hepatitis B.
