A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? Select all that apply.
The left radial pulse is 2+ bounding.
Distended, tortuous veins in the left hand.
Auscultation of a thrill on the left forearm.
Assessment of a bruit on the left forearm.
Correct Answer : C,D
A. A bounding radial pulse does not specifically indicate the patency of an AV fistula; it is a general assessment of peripheral pulse quality.
B. Distended veins in the hand may indicate venous congestion but are not a reliable indicator of fistula patency.
C. The presence of a thrill (a palpable vibration) over the AV fistula indicates proper blood flow through the fistula.
D. The presence of a bruit (a whooshing sound) over the AV fistula indicates the flow of blood through the fistula, confirming patency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ear pain and fever are not characteristic symptoms of mononucleosis.
B. Mononucleosis is often associated with a positive Epstein-Barr virus (EBV) test and symptoms of malaise, fatigue, and lymphadenopathy.
C. Increased BUN and serum creatinine indicate kidney function issues, which are not typically associated with mononucleosis.
D. While elevated WBC and sedimentation rate can occur, they are nonspecific and can be seen in many conditions; they are not defining symptoms of mononucleosis.
Correct Answer is C
Explanation
A. While explaining medications for anxiety is helpful, understanding the client's specific fears is crucial for addressing their concerns effectively.
B. Reviewing the home health care plan is important but should follow addressing the client's immediate concerns and fears about going home.
C. Asking the client about their fears helps to address specific concerns and provides an opportunity to offer targeted support and reassurance.
D. While privacy is important, it is not as critical as understanding and addressing the client's fears directly.
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