After the insertion of an arteriovenous graft (AVG) in the right forearm, a patient complains of pain and coldness of the right fingers. Which action should the nurse take?
Teach the patient about normal AVG function.
Elevate the patient's arm on pillows to above the heart level.
Remind the patient to take a daily low dose aspirin tablet
Report the patient's symptoms to the health care provider.
The Correct Answer is D
Pain and coldness in the fingers following AVG placement can indicate impaired blood flow or compromised circulation to the hand. This may be due to complications such as thrombosis (clot formation), graft malfunction, or decreased arterial perfusion. These symptoms should be taken seriously and promptly communicated to the healthcare provider.
The healthcare provider needs to evaluate the patient's symptoms, assess the AVG, and determine the appropriate course of action. Prompt intervention can help prevent further complications and ensure adequate blood flow to the fingers.
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Related Questions
Correct Answer is ["250"]
Explanation
To calculate the rate at which the nurse should set the IV pump in mL/hr, we need to determine the infusion rate.
The client is receiving 1 gram of antibiotic in 500 ml of fluid over 2 hours. To find the rate in mL/hr, we divide the total volume (500 ml) by the total time (2 hours):
Rate = Volume / Time Rate = 500 ml / 2 hours Rate = 250 ml/hr
Therefore, the nurse should set the IV pump at a rate of 250 mL/hr.
Correct Answer is ["A","B","C"]
Explanation
These statements reflect the appropriate knowledge related to iron deficiency anemia. Iron-rich foods such as meat and beans can help increase iron levels in the body. Vitamin C aids in the absorption of iron, so taking a Vitamin C supplement can enhance iron absorption. Iron deficiency anemia is more common during pregnancy or menstruation due to increased iron demands.
However, increasing intake of dairy products alone does not address the iron deficiency. The statement about oral supplements not being as effective as monthly subcutaneous injections is incorrect, as oral iron supplements are commonly used to treat iron deficiency anemia and are effective in most cases.
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