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Duplicate of Titan In-Center HD Theory Class Review Game Flashcards | StudBud
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Duplicate of Titan In-Center HD Theory Class Review Game
Duplicate of Titan In-Center HD Theory Class Review Game
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1
In Motivational Inteviewing, the acronym DARN stands for
Desire, Ability, Reason, Need
Demand, Accomplishment, Requisite, Necessity
Deficiency, Ambition, Rationality, Neediness
Design, Aspiration, Requirement, Negativity
2
What are the three steps in completing an access assessment:
Lift, Listen, Compress
Stop, Look, and Listen
Look, Listen, and Feel
Look, Feel, and Stick
3
When the lab receives a laboratory test tube with double labeling:
There's an alert note to verify the correct result
The lab will call the clinic to verify the correct tube
Regulations prohibit the lab from processing the tube
The test can be performed if the labels are the same
4
Too much dietary intake of this electrolyte leads to muscle weakness and abnormal heart rhythm
Bicarbonate
Phosphorous
Potassium
Sodium
5
A patient complains of pain at the needle site, tingling of the lips, & difficulty breathing:
You may suspect air embolism
You may suspect hemolysis
You may suspect pyrogenic reaction
You may suspect disinfectant infusion
6
The nephrologist orders a BFR of 300 for your patient's AVF. What gauge is appropriate to use?
17 gauge
14 gauge
15 gauge
16 gauge
7
This can remain on surfaces for days with plastic & vinyl being most favorable to survival
Ebola
VRE
MRSA
Hepatitis B
8
Your patient eats a banana as a snack during dialysis. What is your response?
Ask the patient if they remembered to bring their binders
You ask the Charge RN to get them changed to a lower K bath
Tell them the K in food eaten during HD isn't dialyzed off
Have the RN request a dose of Kaexelyate
9
For patients with AKI
Treatment is the same as if diagnosed with ESRD
A pre-treatment nursing assessment is always required
No nursing assessment is required
No routine labs are drawn
10
This can lead to increased thirst and hypertension:
All the above
Saline flushes
Excess dietary sodium intake
Sodium Modeling
11
This complication occurs when patients' blood is exposed to chlorine/chloramines:
Crenation
Hemolysis
Calciphylaxis
Seizures
12
Health Literacy is the degree to which individuals:
can perform effective self managment
understand their rights as healthcare consumers
understand basic health information
can describe medical terminology
13
This protein is essential for growth, maintence, preventing infections and anemia:
Albumin
Fibrinogen
Globulin
Platelets
14
This RO component only works with a sufficient amount of salt pellets:
DI Tanks
Carbon Tanks
RO membrane
Water Softener
15
What is the most important route by which pathogens are transmitted in healthcare settings?
Airborne transmission
Vector transmission
Contact transmission
Droplet transmission
16
TRUE or FALSE: The most important intervention in preventing HAIs in healthcare is handwashing.
False
True
17
This prevents the formation of aneurysms and pseudoaneurysms
Cannulating the same area each treatment
Use of the tourniquet
Use of hemostatic sponges
Good needle site rotation (rope ladder technique)
18
With CKD-MBD, abnormalities in these labs lead to soft tissue calcification and bone disease:
Sodium, Potassium
BUN, Creatinine
Glucose, Hematocrit
Calcium, Phospherous, PTH, Vitamin D
19
Hypotension during the dialysis treatment:
Is associated with a decreased mortality rate
Is ok, as long as it only happens once a treatment
Is associated with an increased mortality rate
Is common, and is easily treated with a saline bolus
20
Why do we measure the pH of the dialysate?
To verify that there are no chlorine/chloramines present
To verify its acid-base balance is within acceptable range
To verify there is no Renalin in the system
To verifty that conductivity is within range
21
What is an appropriate intervention for muscle cramps?
D/C the treatment
Giving the pt a glove filled with hot water
Giving the patient an ice pack
Stretching the affected muscle
22
Per Davita policy, fever and chills is defined as
>100 degrees or 2 deg over baseline without symptoms
>99 degrees or 1 degree above baseline with symptoms
>100 degrees or 2 deg over baseline with symptoms
>99 degrees or 1 degree over baseline w/o symptoms
23
The time the RO must be running prior to performing the first chlorine/ chloramine test:
1 hour
15 minutes
30 minutes
4 hours
24
Which is one of the basic principles of Self Management?
Focusing on the treatment prescription & treatment adherence
Dealing with consequences of illness
Focusing just on the physical disease
Taking on full responsibility of the medical management
25
Over-manipulating or flipping needles can cause this:
Increased life of the AVF
No harmful associated risks
Excess Bleeding
Aneurysms
26
AKI patients are at increased risk for:
Hypotension and Hypovolemia (becoming too dry)
Being overdialyzed
Hypertension and Hypervolemia (becoming too wet)
Anemia and MBD
27
What test is performed monthly on patients susceptible for Hepatitis B
HbcAb
HbsAg
HbcAg
HbsAb
28
The best time to take phosphate binders
30 minutes after a meal or snack
With a meal or snack
30 minutes before a meal or snack
60 minutes before a meal or snack
29
A patient with a suspected air embolism should be placed into what position?
Right Trendelenburg
Supine
Prone
Left Trendelenburg
30
If a patient has dialysis associated pericarditis, treatment includes:
Higher potassium bath
More frequent HD and heparin restriction
Lower potassium bath
Shortened treatment and increased heparin dose
31
The automatic intervention of a TM who sees a patient doing something detrimental to his health
Makes the patients desire a behavior change
Helps patients see their actions have poor consequences
Works the best at changing health behaviors
Is giving into the Righting Reflex
32
How do you verify that the patient is stable and safe for discharge after dialysis?
All the above
Evaluate by comparing data to pre treatment findings
PCTs notify the nurse if there are any unusual findings
Nurses perform a post treatment assessment as required
33
What are some useful tips for auditory learners?
Playing background music while they study
Using pictures, graphs, charts, and diagrams
Using words associations and mnemonics
Taking short breaks and allowing them to walk around
34
Documentation in the medical record
Is considered legally acceptable info. even if illegible
Allows caregivers to state their opinion
Belongs to the patient
Provides data for continuity & planning of care
35
The best way to help patients successfully change behaviors:
Tell them how you would fix their problem
Use the Righting Reflex
Inspire change through support, compassion, and empathy
Scare them with serious health risks of their behaviors
36
What problem would cause a DECREASE in venous pressure?
Kinking in the blood tubing after the monitoring site
Clamped Venous clamp on the patient's access
Disconnected Venous line
Clotting venous chamber
37
A TM that has >6 mo. of cannulation experience & >10 successful cannulations on established AVF
NFACT Master Cannulator
NFACT Advanced Cannulator
NFACT Beginner Cannulator
NFACT Intermediate Cannulator
38
What is the recommended distance between needle tips?
1 inch
It doesn't matter
2 inches
At least 1.5 inches
39
The most common cause of infection in dialysis patients
Cross contamination from dirty to clean areas
Presence of antibiotic resistant bacteria in the environment
The weakened immune response in patients with CRF
Use of catheters for hemodialysis
40
Your immediate intervention to a final water quality alarm on the treatment floor is:
Notify the Biomed Technician
Rinse back one patient at a time
Place all machines into bypass
Terminate treatments immediately
41
Patients who are skipping treatments are at risk for this:
Hypophosphatemia
Pyrogenic Reaction
Hypokalemia
Dialysis Disequilibrium Syndrome