A patient who is typically talkative is unusually quit today. What should the technician say to the patient?

A. "You seem quiet today. Is something wrong?"

B. "I guess you're having a bad day. Do you want me to leave you alone?"

C. "The last time you were like this, you had been fighting with your family. Are you fighting with them again?"

D. "I can't believe that you are not talking to me. Are you mad at me?"

Which one of the following is NOT a possible sequela of hepatitis B?

A. Chronic active or chronic persistent hepatitis

B. Cirrhosis

C. Pancreatitis

D. Liver cancer

Symptoms of hepatitis include

A. swollen pancreas, pain in right upper quadrant, joint and muscle pain, and jaundice.

B. enlarged liver, decreased bleeding tendencies, jaundice, nausea, and vomiting.

C. nausea and vomiting, fatigue, enlarged liver, right upper quadrant abdominal pain, and jaundice.

D. joint and muscle pain, nausea and vomiting, decreased bleeding tendencies, and jaundice.

Hemolysis of RBCs will occur at a dialysate temperature of

A. 37° C.

B. 39° C.

C. 40° C.

D. 42° C.

In the event a major fire is discovered in an area occupied by patients, the first action should be to

A. request that the utilities be shut off immediately.

B. rescue the patients in the immediate area.

C. report the fire to the local authorities.

D. reopen the safety doors for evacuation.

If the dialysis machine has been disinfected with Renalin, it is important to test tor residual Renalin after rinsing to minimize the risk of

A. potential for a pyrogen reaction.

B. alternation of the chemical composition of the dialysis fluid.

C. patient exposure to Renalin.

D. alteration of components in the machine.

The total pressure in the blood circuit is a result of all of the following EXCEPT the

A. rate of dialysis fluid flow.

B. diameters of the fistula needles.

C. resistance to flow in the blood circuit.

D. blood flow rate controlled by the blood pump.

Systematic rotation of stock is necessary in order to

A. provide easier access to supplies.

B. provide the most efficient use of the storage area.

C. prevent the use of expired stock.

D. maintain adequate supply levels.

Which of the following is the MOST likely cause when a patient develops a fever after hemodialysis treatment has begun?

A. Hypotension

B. Hyperkalemia

C. Pyrogenic reaction

D. Disequilibrium syndrome

A patient with a predialysis temperature of 98.2° F (36.8° C) has a postdialysis temperature of 101.3° F (38.5° C). Evaluation of the change in temperature should include all of the following EXCEPT

A. obtaining an order for blood cultures from the patient.

B. dialysate cultures from the machine.

C. testing for residual disinfectant from the machine.

D. checking the dialysate temperature with an external device.

If a staff member is assigned to take care of an HBV antigen positive patient, they

A. take care of hepatitis B immunized patients at the same time.

B. simultaneously care tor HBV antibody negative patients.

C. take care only of HBV antigen positive patients for the day.

D. cannot take care of hepatitis antibody positive patients for the day.

The patency of a subclavian catheter is usually maintained after dialysis by

A. irrigating with normal saline (NS).

B. filling the catheter with heparin.

C. infusing the prescribed amount of tissue plasminogen activator (TPA).

D. avoiding catheter use until the next dialysis.