Acute HD theory final exam

If a patient with acute kidney injury dialyzes in the outpatient facility, one task of the patient care

teammates is to monitor blood pressure and weight closely. Why is this important? - correct answer

Hypovolemia and hypotensive episodes can cause renal ischemia and can further damage the kidneys

Chronic kidney disease can have its origin pre-renal, intra-renal, or post renal. Which of the following

conditions is an intra-renal cause of CKD - correct answer Hypertension

Knowing what caused your patients' CKD - correct answer Is important because the underlying disease

could cause health complications that can impact the dialysis treatment

Which of the following factors would influence the K of the Kt/V formula? - correct answer Blood volume

processed (BVP)

It is important that patients stay for their entire treatment time because adequate dialysis replaces -

correct answer Less than 15% of normal kidney function

Waiting only five seconds between lowering the blood pump speed and drawing the post treatment

blood sample could - correct answer Cause the Kt/V reading to be falsely high

When a PCT documents the extend of a patient's edema, for example as +3 - correct answer The PCT is

performing an assessment which is not allowed legally

When a patient has an irregular heartbeat - correct answer The automated oscillometric BP reading may

not be accurate

A patient presents with an elevated temperature after the initiation of dialysis. This is most likely due to -

correct answer A pyrogenic reaction

When is a pre-treatment assessment by the licensed nurse required? Check all that apply! - correct

answer When it is mandated by the state When the PCT performing a data collection notices abnormal

findings When the patient reports unusual symptoms to the nurse prior to treatment initiation When the

nurse observes unusual behaviors in a patient entering the treatment floor

If a patient had an adverse reaction within the first couple of minutes after treatment initiation, yet no

pre-treatment data had been entered into the computer, - correct answer There is no proof that pretreatment safety checks were completed or that the patient had been properly assessed

Which of the following is a Data Collection? - correct answer Heart rate: 72

Why are 'thirst control and limiting interdialytic weight gains' a shared responsibility between the

healthcare team and the patient? - correct answer increased thirst and fluid intake between treatments

Care givers contribute to sodium loading during dialysis causing

Preventing hypotensive episodes during the dialysis treatment is important because they are associated

with - correct answer higher mortality rate

What does the term "Wet Crash" mean? - correct answer b. Fluid overload overstretches the heart

muscle tissue resulting in decreased cardiac output and low BP

1. What is your main priority when returning a patient's blood with the hand crank during a power

outage? - correct answer You must be vigilant in watching for air in the blood lines

Your patient dialyses for four hours with a blood pump speed of 400 ml/min. What is his calculated

Blood Volume Processed (BVP) at the end of the treatment? - correct answer 96,000 ml or 96 liters

What problem will cause an increase in the patient's venous pressure? - correct answer A clot in the drip

chamber

What is the most frequent infectious complication in dialysis patients? - correct answer Bacterial vascular

access infections

Which infectious disease requires frequent handwashing instead of using alcoho based hand gels? -

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