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
Explanation
Choice A reason: Flank pain is a common symptom of PKD due to the enlargement of cysts within the kidneys.
Choice B reason: Confusion is not a direct symptom of PKD but could be related to complications such as severe hypertension or toxins in the blood due to decreased kidney function.
Choice C reason: Hypotension is not typically associated with PKD; in fact, hypertension is a more common finding due to the disease's impact on kidney function.
Choice D reason: Urinary retention is not a typical finding in PKD. Instead, symptoms like hematuria (blood in the urine) and increased urinary frequency may occur.
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Proper hand hygiene is essential before connecting the tubing to the catheter to prevent infections, which is a key component of CAPD management.
Choice B reason: There is no requirement to lay down while the dialysis solution dwells in the peritoneal cavity. Patients can move around and continue with their daily activities.
Choice C reason: Regularly weighing oneself is important to monitor fluid balance and the effectiveness of the dialysis, making it a crucial part of home dialysis management.
Choice D reason: CAPD typically involves multiple exchanges throughout the day, not just one instillation at bedtime.
Choice E reason: Monitoring blood pressure is important for managing fluid balance and cardiovascular health in patients on dialysis.
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