CCHT Patient Care 2

Question 1

What nutritional parameter is most important to monitor in hemodialysis patients to prevent protein-energy wasting (PEW)?

Accepted Answer

Normalized protein catabolic rate (nPCR) and serum albumin

Answer

Total caloric intake only

Answer

Carbohydrate intake

Answer

Fat-soluble vitamin levels

Question 2

How should a CCHT respond to a patient who repeatedly refuses to follow their prescribed dietary restrictions and is consistently arriving with high fluid gains?

Accepted Answer

Provide supportive education, involve a social worker and dietitian, and document all interventions without threatening the patient

Answer

Report the patient to administration for non-compliance

Answer

Increase ultrafiltration rate to compensate for the extra fluid without discussion

Answer

Suggest the patient consider discontinuing dialysis

Question 3

What is the recommended frequency for monitoring vital signs during a standard hemodialysis treatment?

Accepted Answer

At the start, then every 30 to 60 minutes throughout treatment, and at end

Answer

At start and end of treatment only

Answer

Every 5 minutes continuously throughout treatment

Answer

Only when the patient reports symptoms

Question 4

A dialysis patient mentions feeling depressed and that life is not worth living. What is the appropriate response?

Accepted Answer

Take the comment seriously, express concern, notify the social worker and charge nurse, and ensure the patient is not left alone

Answer

Reassure the patient that many people feel this way and change the subject

Answer

Tell the patient depression is common and they should speak with their doctor at their next appointment

Answer

Document the comment and continue the treatment without immediate action

Question 5

Which aspect of patient care is the CCHT responsible for documenting in the treatment record?

Accepted Answer

All treatment parameters, vital signs, interventions, patient symptoms, and communications with clinical staff

Answer

Only final lab results and total fluid removed

Answer

Equipment serial numbers and supply usage only

Answer

Physician orders received during treatment only

Question 6

What is the role of the CCHT in a dialysis patient's care conference?

Accepted Answer

Provide direct care observations: machine tolerance, access performance, vital sign trends, patient behavior/complaints during treatments

Answer

CCHTs are not included in care conferences

Answer

Only sign the care plan documents prepared by nurses

Answer

Report on supply inventory and equipment maintenance issues