CCHT-A Practice Questions - NNCC Certified Clinical Hemodialysis Technician - Advanced Exam

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During a pre-dialysis assessment, a patient's standing weight is 2.4 kg above their estimated dry weight. What is the most appropriate first action for the technician?

Set the ultrafiltration goal based on the 2.4 kg interdialytic gain, accounting for rinse-back and intradialytic intake per protocol, verify with the nurse, and document the gain Skip the treatment because excess weight gain indicates non-adherence Administer a diuretic to help with fluid removal before dialysis Increase the dialysate sodium to 145 mEq/L without notifying the nurse

Correct Answer:

Set the ultrafiltration goal based on the 2.4 kg interdialytic gain, accounting for rinse-back and intradialytic intake per protocol, verify with the nurse, and document the gain

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