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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Dressings are typically not removed on the day of surgery to allow for observation of any bleeding or drainage. Dressing removal is usually performed by the surgical team or as directed by the healthcare provider.
B. Encourage ambulation on the day of surgery: Ambulation is important for preventing complications such as deep vein thrombosis and atelectasis, and to promote healing.
C. Postoperative positioning depends on the type of surgery performed and any specific patient needs, but placing the client in a supine position may not address comfort or respiratory considerations.
D. Offering ice cream, which is high in fat, may not be tolerated well immediately after this type of surgery.

A. Use contact precautions. B. Administer ibuprofen prior to assisting with ADLS C. Measure rectal temperature every 4 hr. D. Administer a stool softener.

Correct Answer is D

Explanation

A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is D

Explanation

The nurse is caring for a patient whose cardiac monitor shows a total absence of electrical impulse as indicated by a flat line. The nurse does not detect a pulse or blood pressure. The nurse would document this as which of the following rhythms?

The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

The nurse is creating a plan of care for a patient on the oncology unit. Which patient is at highest risk for developing spontaneous pathological fractures?

The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?

A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?

Which of the following foods should a client with leukemia avoid?

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?

The nurse is caring for a patient with kidney stones. Which intervention should the nurse implement?