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.

Nursing Test Bank

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Correct Answer is C

Explanation

Choice A reason: CAPD can be suitable for clients with a history of abdominal surgery, but it is not specifically the

treatment of choice due to this reason alone.

Choice B reason: CAPD does not require a rigid schedule of exchange times. It is ?exible and can be adjusted to fit the client's lifestyle.

Choice C reason: CAPD allows for more dietary and fluid freedom compared to hemodialysis because it is a continuous process that removes waste products and excess fluid more gradually.

Choice D reason: CAPD does not filter the client's blood through an artificial device called a dialyzer; that is a description of hemodialysis. CAPD uses the client's peritoneum as the filter to remove waste products and excess fluid.

A. Metastasis occurs when cancerous growths are located in the kidneys and also in another part of the body. B. Metastasis means a group of abnormal kidney cells is localized to a single location. C. Metastasis is when a group of kidney cells have changed to more closely resemble intestinal cells. D. Metastasis occurs when cancer cells grow until they run out of space and stop growing.

Correct Answer is A

Explanation

Choice A reason: Metastasis refers to the process by which cancer cells spread from the primary tumor site to distant organs or tissues. This can occur through the bloodstream or lymphatic system, leading to the formation of secondary tumors in other parts of the body.

Choice B reason: This statement is incorrect because metastasis, by definition, involves the spread of cancer cells to multiple locations, not their confinement to a single area.

Choice C reason: The description provided in this choice is more indicative of metaplasia, which is a change in the type of cells, and not metastasis, which is the spread of cancer cells.

Choice D reason: This choice is incorrect as it does not describe metastasis. Cancer cells do not stop growing because they run out of space; they continue to proliferate and can invade other tissues.

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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 teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has kidney cancer and has been informed that it has metastasized. Which of the following statements should the nurse make when the client asks what metastasis means?

Correct Answer is A

Explanation

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A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

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