Hemo Practice Test 2 HEMODIALYSIS TEST 2 November 15, 2018 You will have an hour to complete this test. You will have 3 attempts to complete this test. Good Luck! Name Email If patient has money concerns a dialysis team member can: Loan them money. Pay their phone bill. Refer to social worker. Buy them food.Calculate the fluid removal goal in the following scenarios: Mr. Torres is not feeling well today, his pre-dialysis weight is 145 kgs. His dry weight is 139 kgs. It seems like Mr. Torres is fluid overloaded. The nurse tells the Hemo Tech he will receive 300 mls of normal saline 0.9% with 100 mgs of Venofer. He is also scheduled for IDPN 500 mls during dialysis. What will be the fluid removal goal today? (Remember our unit policy for Rinseback) 7,500 mls is the goal. 7,120mls is the goal. 7,200 mls is the goal. 7,210 mls is the goal.Conductivity measures: How easily a fluid will conduct an electrical current. How fast the electricity travels inside the dialysate. How easy the patient’s body creates electricity. How much electricity does the patient tolerate.Solubility is affected by: Concentration, pH, Temperature and Other solutes. Ultrafiltration, osmosis, other solutes, Concentration. Temperature, ultrafiltration, filtration and pH. pH, Temperature, Concentration and Ultrafiltration.Dialysis devices may include: Dialyzers, dialysate, delivery system and alarms Dialysis, dialysate, delivery system, needles Dialysate, dialysis chair, delivery system and needles Dialysis chair, delivery system, alarms and water roomIn HHD, patients are not trained in other modalities because they already chose to be on HHD. True FalseCalcitriol lets the gut absorb calcium from the foods. False TrueErythropoietin is a hormone created by the kidney’s suprarenal gland and it tells the bone marrow to make red blood cells. True FalseWhat are the three ways to remove solutes: Ultrafiltration, filtration and convection Diffusion, convection and adsorption Diffusion, ultrafiltration and convection Diffusion, ultrafiltration and adsorptionDialysis devices may include: Dialysis, dialysate, delivery system, needles Dialyzers, dialysate, delivery system and alarms Dialysate, dialysis chair, delivery system and needles Dialysis chair, delivery system, alarms and water roomConvection is: Solutes cross the semipermeable membrane and drag the solvent. Solvent crosses the semipermeable membrane and drags small solutes. Solvent crosses the permeable membrane and drags big solutes. Solutes cross the permeable membrane and drag the solvent in small amounts. Hyperparathyroidism can cause renal osteodystrophy. False TrueA patient complains to a technician that during his most recent dialysis he underwent a great deal of pain due to a co-worker’s venipuncture technique. The technician’s most constructive response to this patient would be to Inform the patient that he has the right to refuse venipuncture by the new technician Listen to the patient’s concerns and inform the head nurse. Tell the new co-worker of the patient’s complaint and suggest that the co-worker request to be excused from this patient’s treatment. Inform the patient that this technician is new and is sure to improve with practice.Dialysate is a combination of: Acid concentration, water and sodium Acid concentration, bicarbonate and water Water, sodium and bicarbonate Warm water, potassium and sodium6. The dialyzer has ____ ports: 2 1 6 4What are the three transplant options? Blood relative, non-relative and deceased donor. Blood relative, auto transplant using stem cells, and living donor list. Non-relative, antibodies living donor list and PKD deceased donor list. None of the aboveNeuropathy is: Nerve damage. Low blood pressure. Low red blood cells. Back pain.Peripheral neuropathy is nerve damage in the back. True FalseWhich one is the modality that offers more frequent Hemodialysis? In center hemodialysis Home Hemodialysis Peritoneal Dialysis Nocturnal In center HemodialysisPericarditis is a painful swelling around the abdomen that may develop in patients with kidney failure. True FalseSolubility is affected by: Temperature, ultrafiltration, filtration and pH. Ultrafiltration, osmosis, other solutes, Concentration. Concentration, pH, Temperature and Other solutes. pH, Temperature, Concentration and Ultrafiltration.Which statement is true regarding complications and emergencies in HHD: Patient will have to call the Doctor’s during an emergency. Patient has 24 hour on call services for technical support and clinical support. Patient and partner will deal with the emergency since they receive training for it.What is the HIPAA law? National rules about patient’s privacy. Rules about patient’s treatment. Rules about teammate’s hours of work. Rules about dialysis center’s operation.Which statement is true about Diet and fluid in HHD: Diet is less flexible and potassium is more controlled Diet is more flexible, less fluid limitation, patient still needs to take PO4 binders More fluid limitation, less PO4 binders, diet is more flexible More fluid limitation, diet less flexible, patient still needs to take PO4 bindersCalculate the fluid removal goal in the following scenarios: 1. Mrs. James, a new dialysis patient, has arrived to the unit early. The team is ready to receive her so they decide to call her in. They weigh her before walking her to the dialysis chair. Her weight is 58 kgs. The Hemo Tech looks at the flowsheet and notices that her “Dry Weight” is 56 kgs. The nurse comes by and tells the Hemo Tech that Mrs. James will receive 250 mls of normal saline 0.9% with 500 mgs of Vancomycn for an infection. What will be the fluid removal goal today? (Remember our unit policy for Rinseback) 1650 mls is the goal. 2650 mls is the goal. 3650 mls is the goal. 2605 mls is the goal.Calcitriol is a hormone created by ______: The kidneys. The heart. The heart. The liver.Inside the dialyzer there are two compartments and they carry: Blood flowing outside the fibers and dialysate flowing inside the hollow fibers. Dialysate flowing outside the fibers and blood flowing inside the hollow fibers. Dialysate flowing outside the fibers and blood surrounding the hollow fibers. Blood flowing inside the hollow fibers and dialysate flowing countercurrent inside the fibers.Patient on HHD should not do exercise and activities because their potassium can drop. True FalseWhich statement is true about the nature of the membrane in a dialyzer: Larger surface area = less diffusion Less pores = slower diffusion Concurrent helps with diffusion Smaller pores = larger molecules pass throughWhat are the treatment options for CKD stage 5? Peritoneal dialysis, medication and plenty of water. Transplant, hemodialysis, peritoneal dialysis. Hemodialysis, medications and salty foods. Phosphorus binders and water.What can a patient eat instead of ice cream to avoid increasing the phosphorus? Chocolate pudding. Chocolate candy. Orange sherbet. Yogurt.To help patients cope you can: Accept their money. Encourage them to work if they can. Give them your phone number. Visit them at home.Which statement is true about the delivery system: Can test the patient’s temperature. Has alarms and protects patient’s safety. It is common to use it as sorbent dialysis with patients. It cannot be used in a home setting. What is chronic kidney disease? Long, slow process of Nephron loss. Sudden loss of Nephron. Sudden loss of Neurons. Long, slow process of Neuron loss. Convection is: Solvent crosses the semipermeable membrane and drags small solutes. Solutes cross the semipermeable membrane and drag the solvent. Solutes cross the permeable membrane and drag the solvent in small amounts. Solvent crosses the permeable membrane and drags big solutes.Which ones are the two main types of dialysis? Hemodialysis and Peritoneal Dialysis Nocturnal and home hemodialysis Peritoneal dialysis and transplant Nocturnal in-center dialysisWhich state is true about the physical interview of a Home Hemodialysis candidate: A patient selection tool is used. Patient can be color blind. Dexterity test is not performed. They can skip the cognitive test.Which statement is true about Home Hemodialysis: Treatment is more frequent, therefor it is harsh to the body. It can be done up to 6 times a week. Waste is removed using a concurrent flow. Modality in which a Hemodialysis professional performs treatments at patient’s home.Which statement is true about the nature of the membrane in a dialyzer: Larger surface area = less diffusion Concurrent helps with diffusion Less pores = slower diffusion Smaller pores = larger molecules pass throughWhat are two simple screening tools for CKD? Urine test and blood pressure check. CT scan and x-rays. Sonogram and blood tests. 24 hour urine collection and blood sugar test.Peritoneal dialysis uses what membrane as a filter? Mucus Skin Peritoneum BloodSome of the benefits of Home Hemodialysis can be: Reduces LVH, reduces peritonitis, better quality of life, flexible treatment schedule Reduces migraine, reduces peritonitis, patients can travel, better quality of life Reduces peritonitis, reduces amyloidosis, better quality of life, flexible treatment schedule Reduces LVH, reduces Amyloidosis, Better quality of life, patient can travelThe nephron is divided into two main components: Bowman’s capsule & Proximal tubule Renal vein and renal artery Glomerulus & Tubule Cortex and papillaChoose which are the accesses used for Home Hemodialysis AV Fistula, AV Graft or Central Vein Catheter Peritoneal catheter, CVC, AV Fistula AV Fistula, Peritoneal Catheter, AV Graft AV Graft, CAPD Catheter, AV FistulaWho is a candidate for HHD? Any patient and/or partner that is motivated to perform hemodialysis within their home. Any patient and/or partner that is motivated to perform hemodialysis within their home. A patient with non-compliant hemodialysis history. It’s okay if the patient is illiterate.What is osmosis? Movement of fluid from an area of low concentration of solutes to an area of high concentration of solutes. Movement of fluid from an area of high concentration of solutes to an area of low concentration of solutes. Movement of fluid and solutes from one area to another. Movement of solutes to an area where there is more fluid.Which statement is true about dialysate: Helps remove the extra fluid from the blood. Has nothing to do with the patient’s pH. A hypertonic dialysate solution can be used during dialysis. Helps remove wastes and excess electrolytes from the patient’s blood.The “intravascular fluid” is fluid inside the: Vessels (Eg. veins, arteries) Abdomen Heart LungsWhich statement is true about diffusion: Warm molecules move slower than cold ones. A Hypertonic concentration has a lower level of solutes than in the normal blood. Smaller solutes diffuse quicker and faster than larger ones. A Hypotonic concentration has a higher level of solutes that in the normal blood.Which statement is true about dialysate: Helps remove wastes and excess electrolytes from the patient’s blood. Helps remove the extra fluid from the blood. Has nothing to do with the patient’s pH. A hypertonic dialysate solution can be used during dialysis.