2024 Bonent Exam Study Questions with Complete Solutions

2024 Bonent Exam Study Questions with Complete Solutions Anemia Correct Answer a deficiency of red blood cells, fewer RBCs mean not enough oxygen reaches tissues and causes fatigue, weakness, mental confusion, cold all the time, pale skin/gum/nail beds Anemia is linked to Correct Answer Left ventricular hypertrophy left ventricular hypertrophy Correct Answer increase in thickness of myocardial wall that occurs when the heart pumps against chronic outflow obstruction, causes heart to fail Technician role in anemia Correct Answer Rinse back as much blood as possible Tell nurse about insulation bleedings Tell nurse of infection Try using smaller blood tubes for labs Urge pts to come to tx and stay full time If reuse tell nurse of dialyzer doesn't pass test Secondary hyperparathyroidism Correct Answer When parathyroid makes to much parathyroid horomone Why would the parathyroid make to much parathyroid horomone Correct Answer Healthy kidneys make calcitrol Calcitrol let's gut absorb calcium Failing kidney makes less calcitriol Gut absorbs less calcium, lower Ca in blood Drop in Ca tells parathyroid to release PTH PTH steals Ca from bones to keep blood in balance Since no calcitriol, glands continue to make PTH Gland eventually grows so large it's unable to shut off Symptoms of Secondary hyperparathyroidism Correct Answer Joint and bone pain Muscle pain Weakness that causes trouble walking Can cause calcium deposits in heart and blood vessels In center hemo must be done Correct Answer 3x a week for about 4 hours Cons of in center HD Correct Answer Most limitation on Diet, fluid than other modalities Requires the most medication Most symptoms Patients who run 4 hour tx Correct Answer Are 30% less likely to die than pts who run shorter times Each 30 mins extra of tx increase life by 7% Patients are 50% more likely to die after Correct Answer 2 day no treatment weekend, the last 12 hours of the 2 days the risk of death triples diastolic blood pressure Correct Answer When the heart is at rest. Benefits of nocturnal in center Correct Answer You get 2x as many txs as standard because it is longer and more gentle with fluid removal Rarely cramp Easy on heart Fewer limitations on food and drink Free days 72% better survival rate than standard in center You check blood pressure with Correct Answer Stethoscope and sphygmomanometer Nocturnal in center hemo must be done Correct Answer 3x a weeks about 8 hours per tx If BP site is below the heart.... Correct Answer The reading will be to high Benefits of nocturnal home hemo Correct Answer Better protein level Don't need binders No fluid limits Fewer symptoms Less heart damage Live as long as people who get a deceased kidney transplant If BP site is above the heart.... Correct Answer The reading will be to low Home hemo must be done Correct Answer 3x a week 4-6 hours per tx Benefits of PD Correct Answer Can do alone at home or work Only need 1-2weeks of training Allows for a more normal diet Allows pt to feel more normal peritonitis Correct Answer inflammation of the peritoneum, this can scar the peritoneum and make PD no longer possible, can be avoided by doing a sterile exchange