October

Question Title

* One hour into a hemodialysis treatment, the technician sees that the patient’s venous needle has become dislodged.  In addition to calling for help, which of these actions should the technician take immediately?

The correct answer is b. Stop the blood pump and clamp the line.

Rationale: If the venous needle becomes dislodged, the technician should immediately stop the blood pump and clamp the separated bloodlines. The technician should then apply direct pressure to the bleeding site.

Reference: Medical Education Institute. Core Curriculum for the Dialysis Technician, 6th ed., pages 254 & 262.
May

Question Title

* Prior to having surgery to create an arteriovenous fistula, a patient asks, “Why do I need to have this vein mapping procedure?”  Which of these responses by the technician would be best?

The correct answer is d. "To identify a vein suitable for access placement.”

Rationale: Using ultrasound, upper extremity vessel (or vein) mapping is done to identify veins that are of sufficient size and flow to support the creation and patency of an arteriovenous fistula.

Reference: Medical Education Institute, Core Curriculum for the Dialysis Technician, 6th ed., p. 156
December

Question Title

* Which of the following complications can be associated with venous needle dislodgement during a hemodialysis treatment?

The correct answer is c. Unnoticed blood loss.

Rationale: Bleeding, a potentially life-threatening emergency, can occur if a needle is dislodged during a hemodialysis treatment. Therefore, it is essential to ensure all bloodline connections are secure and the patient’s access is always visible throughout the entire treatment.

Reference: Medical Education Institute, Core Curriculum for the Dialysis Technician, 6th ed., p. 177


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