The nurse is assessing a patient’s arteriovenous (AV) fistula. Which finding provides evidence of its normal function?
Pulselessness.
Ecchymotic area.
Redness.
Enlarged vein.
The Correct Answer is D
Choice A reason: Pulselessness is not a sign of normal AV fistula function; a palpable pulse should be present.
Choice B reason: An ecchymotic area suggests bruising and is not indicative of normal function.
Choice C reason: Redness may indicate inflammation or infection, not normal function.
Choice D reason: This is the correct choice. An enlarged vein is typical for an AV fistula and indicates good blood flow through the fistula.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A recent streptococcal infection is not a symptom of Kawasaki disease.
Choice B reason: Kawasaki disease typically presents with a high fever, not a low-grade fever.
Choice C reason: This is the correct choice. Dry, peeling skin and a patchy rash are common symptoms of Kawasaki disease.
Choice D reason: Conjunctivitis in Kawasaki disease typically does not have exudates.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Thick pulmonary secretions are a hallmark of cystic fibrosis and must be addressed in the care plan.
Choice B reason: While cystic fibrosis can affect various glands, the primary concern is the respiratory system.
Choice C reason: Elevated levels of chloride, not potassium, are found in the sweat of individuals with cystic fibrosis.
Choice D reason: Cystic fibrosis is an autosomal recessive disorder, not dominant. This is important for genetic counseling and understanding the inheritance pattern.
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