A patient with glomerulonephritis has an order to undergo plasmapheresis. Which statement indicates that the patient accurately understands teaching about the procedure?

a. "This procedure removes my affected plasma and gives me a clean replacement."
b. "This procedure will use the IV in my hand."
c. "I will need to lie very still while the pic-tures are taken."
d. "I should drink this contrast with a straw to keep it from staining my teeth."


A
Plasmapheresis is a blood cleansing procedure used in autoimmune disorders, such as acute glo-merulonephritis or myasthenia gravis (see Chapter 24). Much like hemodialysis, plasmapheresis uses a special filter to remove plasma and "wash" it to eliminate antibodies. If treatment is not successful, the disease will rapidly progress to kidney failure and death. The patient's blood is accessed through a shunt or a CVC, not a peripheral intravenous (IV) line. This procedure does not involve imaging or contrast.

Nursing

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