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 B
Explanation
Choice A reason: An elevated white blood count (WBC) is not typically a side effect of chemotherapy; in fact, chemotherapy often leads to a decreased WBC count.
Choice B reason: This is the correct choice. Bone marrow suppression is a common side effect of chemotherapy, leading to a decreased production of blood cells and necessitating precautions to prevent infection.
Choice C reason: T-cell mediated hypersensitivity is not a common side effect of chemotherapy that would dictate the type of precautions needed.
Choice D reason: Stomatitis is a possible side effect of chemotherapy, but it does not primarily determine the type of precautions required as bone marrow suppression does.
Correct Answer is D
Explanation
Choice A reason: Massage can be helpful but may not be the most effective method for reducing joint pain in rheumatoid arthritis.
Choice B reason: Ice can help reduce inflammation but is typically used for acute injuries rather than chronic conditions like rheumatoid arthritis.
Choice C reason: Video games are not a pain management strategy and can potentially exacerbate joint pain due to repetitive motions.
Choice D reason: This is the correct choice. Moist heat can help relieve stiffness and pain in the joints, making it a suitable non-pharmacological measure for rheumatoid arthritis.
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