Module 7: Hemodialysis Procedures and Complications Self-Test Sample Questions Question Title * 1. Tell the nurse if you see a patient’s diastolic blood pressure rising over the course of a treatment, because: The patient’s access may be about to infiltrate—and you don’t want to harm it This could signal a rapid drop in blood volume—and hypotension may be next The patient may be developing a migraine headache—and the nurse can help The patient may be about to have a heart attack—and the doctor needs to know OK Question Title * 2. What must happen for the following alarms: machine conductivity, dialysate temperature, and UF check to pass your safety check? It must be within the manufacturer’s limits It must stop the blood pump, clamp the venous line, and the alarms must work It must be within your clinic’s limits It must go into bypass mode and be within the limits set by your clinic OK Question Title * 3. If your hands are NOT visibly soiled with dirt, blood, or bodily fluids, which product(s) can you use for hand hygiene? Soap and water Alcohol-based hand gel Either product Both products together OK Question Title * 4. Which is the safest way to lift a patient who cannot bear weight? Stand and pivot Use a gait belt Use a lift device Pick him or her up OK Question Title * 5. Where does an enterococcus live? In the liver In the trachea In the heart In the intestines OK Question Title * 6. Which of these practices are recommended to secure a patient’s bloodlines? Cross the bloodlines over the patient, then anchor them to the machine Loosely loop the lines so patients can move freely; anchor the bloodlines to the chair Put the machine on the patient’s access side and anchor the bloodlines to the patient Keep the bloodlines as taut as possible to avoid catching them on anyyhing OK Question Title * 7. What is infection transmission through “direct contact”? You touch a germy surface and then your eyes, nose, mouth or a wound You eat food prepared by someone who did not wash his or her hands You touch an infected person, then your eyes, nose, mouth or a wound You accidentally stick yourself with a needle from an infected patient OK Question Title * 8. When should you draw a predialysis BUN blood sample? Just before treatment 10 minutes before treatment Just after you start the blood pump Within the first 2 minutes of treatment OK Question Title * 9. What is the minimum level of Kt/V for standard in-center hemodialysis? 1.2 2.0 0.01 1.4 OK Question Title * 10. You suspect that one of your patients is having an anaphylactic reaction. His chest is tight, and his pulse is racing. What will you be expected to do? Put the patient in Trendelenburg position, on his left side Call for help and stop the blood pump Ask the patient if he would like a drink of water Give a bolus of normal saline immediately OK DONE