Free CCHT Questions and Answers — Questions and Answers
Question 1: Salt replacements should not be used by hemodialysis patients because they frequently ____________.
- cause nausea.
- contain potassium. (Correct answer)
- taste bad.
- cause constipation.
Correct answer: contain potassium.
Since high potassium intake is risky, patients getting hemodialysis should be counseled to stay away from salt substitutes, which frequently exchange potassium for some of the sodium. When a replacement is advertised as "sodium free," it is typically entirely made of potassium. Patients can be urged to experiment with using various herbs or lemon juice in place of salt. While Mrs. Dash® products lack sodium or potassium, they do contain mixtures of other herbs and spices.
Question 2: Because of ____________, patients with uremia experience foamy or bubbly urine.
- protein leaks into the urine. (Correct answer)
- wastes combine to create a chemical reaction.
- the kidneys remove less water.
- urination is less frequent.
Correct answer: protein leaks into the urine.
Because of the interaction between the air and the protein in their urine after urination, patients with uremia have foamy or bubbly pee. Although small amounts of protein are commonly seen in urine, as kidney function declines, an increasing proportion of normally too big to filter protein starts to slip through. One of the first indications of renal failure is protein in the urine.
Question 3: Which of the following is a role for the networks for end-stage renal disease?
- Set Centers for Medicare & Medicaid Services standards of care.
- Provide the pay-for-performance program.
- Help resolve patient-staff conflicts. (Correct answer)
- Pay for patient services.
Correct answer: Help resolve patient-staff conflicts.
The End-Stage Renal Disease (ESRD) Networks assist centers in resolving issues involving patients and staff. Congress established 18 ESRD Networks across the nation in order to guarantee the provision of high-quality dialysis care. Medicare has contracts with the ESRD Networks to gather information, provide reports, support rehabilitation, implement improvement projects, and offer resources to patients and medical professionals. Working with ESRD Networks is a requirement for all dialysis facilities.
Question 4: What angle should the slide board be positioned between the two seating surfaces when a patient is being transferred from a dialysis chair to a wheelchair?
- 90 degrees.
- 60 degrees.
- 45 degrees. (Correct answer)
- 30 degrees.
Correct answer: 45 degrees.
When moving a patient from a wheelchair to a dialysis chair, a slide board should be positioned at a 45-degree angle between the two surfaces. The arm must be taken out of the wheelchair and both the dialysis chair and the wheelchair must be locked to prevent movement while being transferred. Prior to transfer, a gait belt should be fastened around the patient's waist for security.
Question 5: When using the tandem-hand technique, the technician teaches a patient how to self-cannulate.
- patient places the thumb and finger behind the technician’s thumb and finger. (Correct answer)
- patient observes and then carries out the procedure on a prosthetic training arm.
- technician places the first needle, and the patient places the second.
- technician places the thumb and finger behind the patient’s thumb and finger.
Correct answer: patient places the thumb and finger behind the technician’s thumb and finger.
The patient holds their thumb and index finger behind the technician's thumb and index finger while being taught to self-cannulate using the tandem-hand technique. They hold firmly but not so tightly as to restrict the technician's movement. By using this method, the patient can feel the technician's hand motion while the needle is inserted. Until the patient is comfortable enough to proceed to the following stage, where the two change hand positions, the technician and patient should continue using the tandem-hand approach.
Question 6: For hemodialysis, a patient has a right internal jugular central venous catheter; nevertheless, during treatment, a pressure alert rings, signaling that the blood flow rate is lower than recommended. The technician examines the lines and discovers that they seem clear and that there are no indications of kinking, bleeding, or air entering the system. The following action should be taken to _______.
- reverse the arterial and venous lines.
- stop dialysis.
- lower the patient’s head and ask the patient to cough. (Correct answer)
- flush the central venous catheter with normal saline.
Correct answer: lower the patient’s head and ask the patient to cough.
The next step should be to lower the patient's head and ask them to cough if a pressure alarm during hemodialysis on a patient with a right internal jugular central venous catheter indicates that the blood flow rate is lower than prescribed but the technician finds that the lines are clear and there are no signs of kinking, bleeding, or air entering the system. In order to improve blood flow, this may aid in moving the catheter's tip.
Question 7: The continuous quality improvement method known as the PDCA cycle is known as.
- pick-direct-certify-act.
- plan-do-check-act. (Correct answer)
- pick-do-certify-account.
- plan-direct-commence-account.
Correct answer: plan-do-check-act.
The following steps are referred to as part of the plan-do-check-act cycle for continuous quality improvement: Plan: Describe a strategy for resolving a particular issue, including steps to take, to-do lists, and desired results. Do: Test the action plan's viability and suitability by implementing it partially or on a trial basis. Check: Assess the plan's effectiveness and make any necessary adjustments in light of the findings. Utilize the action plan, and keep reevaluating as needed.
Free CCHT Questions and Answers
Salt replacements should not be used by hemodialysis patients because they frequently ____________.