Help
Options
Question
The functional unit of the kidney, or the structure in the kidney that does the work, is the:
click to flip
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't know
Question
A nephron is made up of:
Remaining cards (48)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
CCHT Review Exam
Certified Clinical Hemodialysis Technician Review Exam
| Question | Answer |
|---|---|
| The functional unit of the kidney, or the structure in the kidney that does the work, is the: | Nephron |
| A nephron is made up of: | A glomerulus and a tubule. |
| The endocrine functions of the kidney include: | Making erythropoietin and the active form of vitamin D. |
| The leading cause of End Stage Renal Disease for adults in the US is: | Diabetes |
| Patients with kidney failure often complain of itching, which is likely to be caused by: | Hyperphosphatemia |
| Why do kidney patients often have bone disease? | Kidneys stop producing calcitrol. |
| Symptoms that a patient may need more dialysis time include: | Anorexia, fatigue, swelling. |
| A semipermeable membrane is a porous barrier that: | Allows for only certain sized particles to cross. |
| Diffusion is movement of particles: | From an area of higher concentration. |
| Negative pressure is pressure created when: | Fluid is pulled through a restriction. |
| During Dialysys, ultrafiltration occurs when: | Water is removed from blood because there is a pressure gradient between blood and dialysate. |
| At which point in the extracorporeal circut is the blood usually under negative pressure? | The arterial line section before the blood pump.` |
| Which of the following will increase the amount of solutes that will diffuse across the semipermeable membrane? | High concentration gradients. |
| The components of the dialysate treatment that affect clearance include: | Dialysate flow, time of treatment, dialyzer size, blood flow rate. |
| Two things that affect the dialyzer's ability to remove wastes from the body include: | Surface area and molecular weight cutoff. |
| What are some components that make up a dialysate solution? | Bicarbonate, Sodium, Potassium |
| What is the most important safety monitor during a dialysys treatment? | The dialysys technician |
| Dialysate conductifity measures: | The total electrical charge of a solution |
| Dialysate that has too much sodium may cause patient injury. Too much sodium or hypernatremia can cause: | Headaches, high blood pressure, and shriveling of red blood cells. (crenation) |
| DIalysate that has too little sodium can cause: | Low blood pressure, cramping, and hemolysis. |
| Things that can affect dialysis adequacy include: | Time on tx, blood and dialysate flow rates, dialyzer clotting. |
| Seizures during dialysis may be caused by: | Electrolyte imbalance, hypotension, dialysate composition errors. |
| Which of the following situations will cause an increase in venous pressure during dialysis? | Venous needle infiltration. |
| The tmp has been gradually changing during the last 1-1/2 hours of dialysis. You suspect clotting in the dialyzer. The first action you should take is to: | Rinse the dialyzer with normal saline. |
| If there is a decrease in the pt's URR or Kt/V, which of the following factors should be looked at? | Increased access recirculation, diminished dialyzer performance due to reprocessing, inadequate anticoagulation of the blood, blood pump speed. |
| What is the first symptom that a pt developing dialysis disequilibrium syndrome is most likely to exhibit? | Headache |
| What set of symptoms will a pt likely exhibit when fluid overloaded? | Tachycardia, hypertension, dyspnea. |
| First use symdrome is a hypersensitivity reaction to a dialyzer. It is characterized by: | Back pain, anxiety, tachycardia, wheezing, circulatory collapse. |
| Dialyzer performance can be affected by reuse. What set of potential problems may be related to reuse? | Reduced dialyzer performance, plugged hollow fibers, changed fiber bundle volume. |
| AAMI standards recommend quality control activities before a reprocessed dialyzer is used on a pt. How many people must check the dialyzer to verify quality control imformation? | Two people, one of whom should be the patient. |
| What are the symptoms of a chemical reaction due to incomplete rinsing of germicide from a reprocessed dialyzer? | Burning in the access site, numbness in the access arm, blurred vision |
| Dialyzers are processed before use to rinse out manufacturing residues and to: | Establish the original fiber bundle volume of the dialyzer and check for leaks. |
| What are two criteria for rejecting a reprocessed dialyzer? | Less than 80% of original fiber bundle volume, aesthetic appearance. |
| What statement is true of AAMI? (The association for the advancement of medical instrumentation) | AAMI recommends voluntary standards for dialysis water tx. |
| According to AAMI standards, bacteriologic testing for water and dialysate should take place: | Monthly. |
| According to the AAMI standards, the total microbial count of water used to prepare dialysate shall not exceed: | 200 CFU/ml |
| Describe 4 types of anastomosis for an internal arteriovenous fistula: | 1:Artery side to vein side 2:Artery end to vein end 3:Artery end to vein side 4:Artery side to vein end |
| Anastomosis means: | Surgical connection between two blood vessels |
| Bruit means: | Buzzing, swooshing sound heard in a fistula or graft |
| Thrill means: | Vibration from pulse of blood in a dialysis vascular access |
| What is a true statement about catheters? | Internal jugular vein is the preferred insertion site for both temporary and long term catheters. |
| During dialysis treatment, what would indicate a break in the integrity of the extracorporeal circuit? | The appearance of air or foam in any bloodline. |
| Poor blood flow during dialysis in patients with catheters is often due to? | A blood clot, poor placement of the catheter within the blood vessel, a fibrin sheath that has formed around the catheter. |
| A dialyzer with a UF coefficient of 12 and a TMP of 120 will remove how many mL of fluid per hour? | 1440 (Kuf * TMP) |
| If a venous needle is infiltrated, what would you do? | Insert a second needle above the venous infiltration. |
| Your patient orders for for a 17 guage needle. You know that: | He will only be able to attain a 250-300 mL/min QB. |
| The only professional organization in the country just for dialysis technicians is: | The national association of nephrology technicians. |
| The venous pressure on a dialysis machine starts to rise but the venous needle is not infiltrated. What could be responsible? | Clotting of the venous or arterial lines. |
| A factor that can affect peritoneal membrane permeability is: | Peritonitis infection. |
Created by:
SausageOstrich