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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. It is important for clients to continue taking their diabetes medication even when they are feeling sick to prevent hyperglycemia and other complications.

B. An A1C blood test should be obtained more frequently than once a year, typically every 3 months, to effectively monitor glucose control.

C. Following an individualized meal plan and avoiding high-fat diets are key components of managing type 2 diabetes mellitus. This helps maintain blood glucose levels within the target range and reduces the risk of complications.

D. Applying lotion to the feet is important to prevent dry skin and cracks, but it should not be applied between the toes as this can increase moisture and risk of infection.

A. Outreach for support group information. B. Blood pressure screening. C. Immunizations that are available. D. Domestic violence assistance.

Correct Answer is C

Explanation

A. Outreach for support groups is more related to secondary or tertiary prevention.

B. Blood pressure screening is a form of secondary prevention, aimed at early detection and intervention.

C. Immunizations are a form of primary prevention, aimed at preventing disease before it occurs.

D. Domestic violence assistance is a crucial service but does not directly relate to primary disease prevention.

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Body System	Assessment Finding
Neurological	Restless Awake and alert Anxious
Respiratory	Respiratory rate 28 breaths/minute Oxygen Saturation 90% on room air Productive cough
Cardiovascular	Heart rate 101 beats/minute Capillary refill 4 seconds Blood pressure 145/89 mm Hg

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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home. Which information verbalized by the client indicates understanding?

Correct Answer is C

Explanation

The nurse is preparing a community outreach program on primary disease prevention. Which topic should the nurse plan to include in this event?

Correct Answer is C

Explanation

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