The nurse is providing education to the client with a new arteriovenous fistula and the client asks "when I touch my fistula feel it vibrate, what does that mean? What statement by the nurse is the correct way to answer the client's question?

“This is called a thrill and it means that your fistulas not working.”

"This is not a normal sign will call your provider right away.”

"This is called a bruit and it shows that your fistula patent."

“This is called a thrill and it means that your fistula is patent.”

Answer and Explanation

The Correct Answer is D

A. “This is called a thrill and it means that your fistula is not working.” A thrill is a normal finding and means the fistula is functioning properly.

B. "This is not a normal sign; we will call your provider right away.” A lack of thrill is abnormal, not the presence of one.

C. "This is called a bruit and it shows that your fistula is patent." The thrill is felt and the bruit is heard.

D. "This is called a thrill and it means that your fistula is patent." A thrill (vibration) is a normal finding in an AV fistula and indicates adequate blood flow. A bruit (whooshing sound) is heard on auscultation and also confirms patency.

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Correct Answer is C

Explanation

A. Bradypnea, dizziness, and paresthesia: Bradypnea is associated with CO₂ retention, but paresthesia (tingling sensations) is more common in alkalosis due to calcium shifts.

B. Bradycardia and hyperactivity: Bradycardia can occur in severe acidosis, but hyperactivity is not a typical sign.

C. Headache, restlessness, and confusion: Respiratory acidosis occurs when CO₂ retention leads to cerebral vasodilation, increasing intracranial pressure and causing headache, restlessness, and confusion.

D. Irritability and seizures: Seizures are more common in severe alkalosis due to neuronal hyperexcitability.

A. BUN 45 mg/dL and creatinine 8 mg/dL B. BUN 10 mg/dL and creatinine 0.3 mg/dL C. BUN 8 mg/dL, and creatinine 0.7 mg/dL D. BUN 23 mg/dl and creatinine 1.0 mg/dL

Correct Answer is A

Explanation

A. BUN 45 mg/dL and creatinine 8 mg/dL: In CKD, BUN (> 20 mg/dL) and creatinine (> 1.2 mg/dL) are significantly elevated due to reduced kidney function. A creatinine of 8 mg/dL indicates severe renal impairment.

B. BUN 10 mg/dL and creatinine 0.3 mg/dL: Too low for CKD, suggestive of normal renal function.

C. BUN 8 mg/dL, creatinine 0.7 mg/dL: Normal values.

D. BUN 23 mg/dL, creatinine 1.0 mg/dL: Mild elevation, but not consistent with CKD severity.

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The nurse is providing education to the client with a new arteriovenous fistula and the client asks "when I touch my fistula feel it vibrate, what does that mean? What statement by the nurse is the correct way to answer the client's question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of lung disease is at risk for developing respiratory acidosis. The nurse should anticipate to assess which signs and symptoms to indicate respiratory acidosis?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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