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Water Treatment in Dialysis

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

Why is it necessary for water used in dialysis be treated?

a)

Because patients drink a lot of water even though they have fluid restrictions.

b)

Patients have a decreased sensitivity to water.

c)

Patients are exposed to large amounts of water during dialysis.

d)

Because untreated water can increase contaminates excreted by the patient during dialysis.

2.

Which of the following elements can cause bone disease when in product water?

a)

Zinc

b)

Calcium

c)

Aluminum

d)

Magnesium

3.

Chloramines are the combination of

a)

ozone and chlorine

b)

vinegar and bleach

c)

ammonia and chlorine

d)

chlorine and acid

4.

Water softeners in dialysis remove

a)

Calcium and magnesium

b)

Sodium and zinc

c)

Chlorines and chloramines

d)

Calcium and sodium

5.

What is the allowable level for total chlorines?

a)

Less than 0.90 ppm (mg/L)

b)

Greater than 0.90 ppm (mg/L)

c)

Less than 0.10 ppm (mg/L)

d)

0.00-0.09 ppm (mg/L)

6.

What can occur if Total Chlorines cross the dialyzer membrane?

a)

An allergic reaction

b)

Hemolysis

c)

Clotting of the dialyzer

d)

Air embolism

7.

When is calibration of the Phoenix meter required?

a)

Weekly

b)

Every other day

c)

Monthly

d)

When the meter is not within the acceptable limits

8.

How many water hardness tests are completed during a routine dialysis treatment day?

a)

Three

b)

Two

c)

One

d)

Less than every four hours.

9.

What is the purpose of the carbon tanks?

a)

To remove chlorine and chloramines

b)

To remove aluminum

c)

To remove large particles

d)

To remove magnesium

10.

Water softeners remove calcium and magnesium through a process called

a)

Filtration

b)

Absorption

c)

ION exchange

d)

Adsorption

11.

Symptoms of hemolysis can include

a)

Shortness of breath

b)

Bleeding from the access

c)

Cherry colored blood

d)

Chest pain

12.

What symptom(s) can occur if a patient were to be exposed to bacteria or endotoxins in dialysis water?

a)

Fever

b)

Seizures

c)

Headache

d)

Chills

13.

AAMI standards require _____________ testing for bacteria in dialysis water.

a)

Weekly

b)

Bi-weekly

c)

Monthly

d)

Semi-annually

14.

What does TDS stand for?

a)

Theoretical displayed sodium

b)

Total dissolved solids

c)

Temperature dialysate solution

d)

Treated dialysis system

15.

How is RO performance measured?

a)

By the water hardness level ppm

b)

By the pressure valve measurements

c)

By the percent of rejection

d)

By RPC ultra-low Total Chlorine test strips