A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

Measure the client's blood pressure to ensure it is higher in the left arm than the right.

Check the brachial and radial pulses of the left arm simultaneously.

Auscultate the antecubital fossa using a Doppler stethoscope.

Auscultate the site for a bruit.

Answer and Explanation

The Correct Answer is D

Choice A reason: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.

Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.

Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.

Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.

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Correct Answer is ["B","D","E","F"]

Explanation

Choice A reason: Frothy urine is not a typical symptom of pyelonephritis; it is more associated with proteinuria or nephrotic syndrome.

Choice B reason: Lower abdominal pain can be a symptom of pyelonephritis due to in?ammation and infection in the kidneys.

Choice C reason: Hypertension is not a direct symptom of pyelonephritis, although it can be associated with chronic kidney disease.

Choice D reason: A fish-type urine odor can be present in pyelonephritis due to the presence of bacteria.

Choice E reason: Mental confusion can occur, especially in severe cases or in elderly patients with pyelonephritis.

Choice F reason: A weak urine stream may be present if there is swelling or obstruction in the urinary tract due to infection.

A. "I should eat a diet low in potassium while taking this medication." B. "I should limit my fluid intake while taking this medication." C. "My blood pressure will increase while I am taking this medication." D. "I need to limit my sun exposure and wear sunscreen while on this medication."

Correct Answer is D

Explanation

Choice A reason: Furosemide does not require a diet low in potassium; in fact, patients may need to increase their potassium intake due to its diuretic effect.

Choice B reason: Patients on furosemide should not limit fluid intake unless specifically instructed by their healthcare provider, as the medication is a diuretic.

Choice C reason: Furosemide is used to treat high blood pressure, so it would not cause an increase in blood pressure.

Choice D reason: Limiting sun exposure and wearing sunscreen is important as furosemide can make the skin more sensitive to sunlight.

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A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

Correct Answer is ["B","D","E","F"]

Explanation

The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

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