The nurse is checking the patency of a new right arm arteriovenous fistula. What action does the nurse use to do this? Select all that apply

auscultate the right brachial pulse

palpate for thrill over the right arm fistula

measure the blood pressure in the right arm

auscultate the right radial pulse

auscultate bruit over the right arm fistula

palpate the right radial pulse

Answer and Explanation

Correct Answer : B,E

A.   Auscultating the brachial pulse is not typically used to assess the patency of an arteriovenous fistula.
B.   A thrill is a vibration felt over an arteriovenous fistula or graft and indicates proper blood flow. Palpation for thrill is a standard method to assess fistula patency.
C.   Blood pressure measurement does not directly assess the patency of an arteriovenous fistula.
D.   Auscultating the radial pulse is not typically used to assess the patency of an arteriovenous fistula.
E.   A bruit is a swooshing sound heard over an arteriovenous fistula or graft and indicates turbulent blood flow. Auscultating for bruit is another method to assess fistula patency.
F.   Palpate the right radial pulse: Palpating the radial pulse is not typically used to assess the patency of an arteriovenous fistula.

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Correct Answer is C

Explanation

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

A. "Wear tight fitting clothes." B. "Take baths instead of showers." C. "Empty the drainage bag at the same time each day." D. "Secure the tubing to your clothing"

Correct Answer is D

Explanation

A. Tight fitting clothes may put pressure on the T-tube insertion site and interfere with drainage. Loose-fitting clothing is recommended.
B. Showering is typically preferred over baths to keep the T-tube site clean and dry.

Baths may increase the risk of infection.

C. Regular emptying of the drainage bag helps prevent excessive weight, which can pull on the T-tube and cause discomfort or displacement. However, it should necessarily be emptied at the same time each day.
D. Securing the tubing to clothing helps prevent accidental dislodgment or pulling on the T-tube, reducing the risk of complications.

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The nurse is checking the patency of a new right arm arteriovenous fistula. What action does the nurse use to do this? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with a client who is postoperative for a traditional cholecystectomy and has a T-tube in place. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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