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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A reason: Proper perineal care is crucial in preventing UTIs, especially in a skilled nursing facility where clients may need assistance with personal hygiene.
Choice B reason: Catheters should be discontinued as soon as medically feasible because they can be a source of infection.
Choice C reason: It is important to complete the full course of prescribed antibiotics to ensure all bacteria are eradicated and to prevent antibiotic resistance.
Choice D reason: Encouraging clients to urinate regularly and completely empty their bladder can help ?ush out bacteria and prevent UTIs.
Choice E reason: Adequate fluid intake is essential to help dilute urine and ?ush bacteria from the urinary tract.
Correct Answer is C
Explanation
Choice A reason: Air embolism is a potential complication during hemodialysis, but it would likely present with more acute symptoms such as chest pain or difficulty breathing.
Choice B reason: Septicemia would typically present with fever and hypotension, not necessarily with headache, nausea, and restlessness.
Choice C reason: Dialysis disequilibrium syndrome can occur after hemodialysis, especially after the first treatment, and is characterized by symptoms such as headache, nausea, and restlessness.
Choice D reason: Peritonitis is a complication associated with peritoneal dialysis, not hemodialysis.
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