CCHT Infection Control 2

Question 1

What is the recommended hand hygiene technique after removing gloves following patient care in a hemodialysis unit?

Accepted Answer

Wash hands with soap and water or use alcohol-based hand rub immediately after glove removal

Answer

Gloves provide complete protection; hand hygiene is optional after removal

Answer

Only wash hands if gloves visibly tore during use

Answer

Sanitize gloves and remove them over the sink

Question 2

A new patient has been identified as hepatitis C positive. What infection control precautions should be implemented in the hemodialysis unit?

Accepted Answer

Cohort the patient with other HCV-positive patients and use dedicated machines

Answer

Isolate the patient in a separate room with dedicated equipment

Answer

Follow standard precautions only; HCV is not transmitted by casual contact in dialysis

Answer

Refuse treatment until the patient completes antiviral therapy

Question 3

What is the most common source of catheter-related bloodstream infections (CRBSI) in hemodialysis patients?

Accepted Answer

Contamination of catheter hubs during connection/disconnection procedures

Answer

Contaminated dialysate water

Answer

Skin flora migrating through the insertion site

Answer

Infected dialyzer membranes

Question 4

What is the proper technique for disinfecting the skin before needle insertion for arteriovenous fistula cannulation?

Accepted Answer

Apply chlorhexidine gluconate in a circular motion and allow to dry completely before needling

Answer

Wipe with a single alcohol swab in one direction

Answer

Use povidone-iodine spray without rubbing

Answer

No disinfection needed if the patient recently showered

Question 5

What action should be taken if a hemodialysis staff member receives a needlestick injury from a used dialysis needle?

Accepted Answer

Immediately wash the wound, report to supervisor, complete an incident report, and seek post-exposure evaluation

Answer

Complete the treatment first, then report the injury at the end of the shift

Answer

Apply antibiotic ointment and continue working without reporting if vaccinated against hepatitis B

Answer

No action needed if the source patient is known to be HIV negative

Question 6

During a hemodialysis treatment, the technician notices that the dialysate has a cloudy appearance. What is the most appropriate action?

Accepted Answer

Stop treatment, do not return blood, and report to the charge nurse and biomedical staff

Answer

Continue treatment since cloudiness is normal from concentrate mixing

Answer

Add more concentrate to clear the cloudiness

Answer

Increase the dialysate flow rate to clear the cloudiness