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BONENT - Reviewer.
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BONENT - ReviewerThe process of osmosis in the kidney occurs through the semipermeable membrane
located in the _________.
a. Tubules
b. Glomeruli
c. Macula densa
d. Bowman's capsule - ANS-d. Bowman's capsule
In MOST delivery system, the blood leak detector is a _____.
a. Photoelectric cel unit placed in the blood circuit, this cell continuously measures the
optical density of the blood pumped through it.
b. Photoelectric cell placed in the effluent dialysis fluid circuit, this cell continuously
measures the optical density of the blood pumped through it.
c. Cylinder placed in the dialysis inflow line; this cylinder continuously measures the
optical density of the blood pumped through it.
d. Cylinder placed in the dialysis outflow line; this cylinder continuously measures the
optical density of the blood pumped through it. - ANS-b. Photoelectric cell placed in the
effluent dialysis fluid circuit, this cell continuously measures the optical density of the
blood pumped through it.
A technologist is supposed to administer a heparin bolus (loading dose) systematically
to allow a response prior to blood/membrane interaction. The BEST way to accomplish
this is to inject the heparin into the ________.
a. Blood line arterial port as soon as blood reaches port.
b. Blood line heparin port three to five minuted prior to initiating treatment.
c. Dialysis needle/catheter port three to five minuted prior to initiating treatment.
d. Dialysis circuit during recirculation, then use the heparinized saline to prime the
patient. - ANS-c. Dialysis needle/catheter port three to five minuted prior to initiating
treatment.
Ten patients who have been dialyzing from 1 to 1 1/2 hours suddenly to experience
fever, itching, puffy eyelids, nausea and red blotchiness. The patient MOST likely are
exhibiting sign of _______.
, a. Hemolysis
b. A drug reaction
c. Hyperkalemia
d. A pyrogenic reaction - ANS-d. A pyrogenic reaction
If an individual discontinues dialysis treatment, dialysis personnel have moral and
ethical obligation to _______.
a. Support and respect patient's decision without coercing them into continuing.
b. Instruct the hospital's or dialysis clinic's attorney to charge the patient with a breach
of contract.
c. Have the patient sign a release of absolving the hospital or dialysis clinic from all
responsibility.
d. Reinstitute the treatment by force if necessary because the patient's life is at risk. -
ANS-a. Support and respect patient's decision without coercing them into continuing.
During dialysis, a patient becomes extremely angry upon being awakened for a blood
pressure measurement. which of the following replies would be the technologist's BEST
INITIAL response?
a. I can come back later
b. I'm only taking your blood pressure
c. You're upset with me for waking you up
d. It is unit policy that I take your blood pressure every hour. - ANS-d. It is unit policy
that I take your blood pressure every hour.
A patient complains of feeling very cold during dialysis. The technologist should FIRST
_____.
a. Check the temperature of the dialysate
b. Report the problem to the head nurse
c. Cover the patient with a blanket
d. Draw a blood sample for testing - ANS-a. Check the temperature of the dialysate
The PRIMARY physiologic abnormality in the anemia of renal failure is __________.
a. Internal bleeding
b. Blood loss in the dialyzer
c. Decreased serum iron level
d. Reduced production of erythropoietin - ANS-d. Reduced production of erythropoietin
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