In a patient with gross Adema which symptoms of hypotension shared the

CCHT Exam

In a patient with gross Adema which symptoms of hypotension shared the dialysis tech be watching for

• Shortness of breath
• Flushed face and nose bleed
• Paleness
• Excessive yawning

Correct Answer:

A C and D

A tech reports to the RN that the blood is transparent in the circuit with a cherry soda pop color what complication should the tech suspect the patient is experiencing

• Hemolysis
• Thrombosis
• Septicemia

Correct Answer:

• Hemolysis

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Which symptoms will alert the tech a patient is experiencing type a dialyzer reaction

• Dyspnea
• Chest and back pain
• Sense of impending doom
• Numbness around the mouth

Correct Answer:

A B and C

The dialysis tech knows that reducing intake of this nutrient may be beneficial in delaying the progression of kidney disease

• Water
• Carbohydrates
• Proteins

Correct Answer:

C.

Albumin is a bio-marker monitored to assess the nutritional status of patients with CKD which patients are likely to have a lower serum albumin

• Patient who is dehydrated
• Patient with fatigue and low energy
• Patient with hair loss and muscle wasting

Correct Answer:

B and C

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According to KDOQI which pre-dialysis albumin level should be the outcome goal for dialysis patient

• Equal to or greater than the normal range of four
• Equal to or greater than the normal range of three
• Equal to or greater than the normal range of one

Correct Answer:

A.

A 73-year-old dialysis patient is discussing with the tech her desire to convert to a total plant-based diet which statement is important for the tech to share

• There is no way to satisfy a patient's protein needs with a total plant-

based diet

• Plant proteins are low biological value proteins and need to be combined

to get all building blocks her body needs

• No plant protein foods are considered high proteins so it will be hard for

her to satisfy her protein needs

Correct Answer:

B.

For a patient with stage 5 CKD phosphorus intake should be limited to what level

• 400 to 800
• 1200 to 1600
• 800 to 1200

Correct Answer:

C.

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A patient with CKD is having difficulty controlling her phosphorus intake why is control of phosphorus challenging

• Phosphorus is abundant in fresh food such as vegetables and fruit
• Phosphorus is found in high amounts of coffee and tea
• Phosphorus additives are commonly found in best-selling processed foods

Correct Answer:

C.

A patient with stage 5CKD has C Dash reactive protein level of 25 what does this level suggest

• Early onset diabetes
• Inflammation in the body
• Heart attack

Correct Answer:

B.

Parathyroid hormone helps to regulate calcium and phosphorus levels low serum calcium levels stimulate secretion of parathyroid hormone this results in which change of the body

• Increase calcium absorption from small intestine
• Calcium loss in the urine is minimize
• Movement of calcium out of the bones
• Creation of a urinary buffer for acid base balance

Correct Answer:

A B and C

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