The nurse cares for a client with an AV fistula for hemodialysis. Which assessments will the nurse perform when assessing the AV fistula? Select all that apply.
A. Palpation
B. Auscultation
C. Inspection
D. Percussion
Answer: C
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A patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is being cared for on your unit
You are writing a care plan for this patient. The priority nursing diagnosis for a patient with this condition is what? A) Deficient fluid volume B) Excessive fluid volume C) Hypothermia D) Hyperthermia
The nurse observes a prominent U wave on the client's electrocardiograph (ECG) tracing. What is the most appropriate action for the nurse to take?
a. Document the finding as a normal variant. b. Review the client's daily electrolyte re-sults. c. Move the crash cart closer to the client's room. d. Call for an immediate electrocardiogram.
A person's hair is matted and tangled. What should you do?
a. Braid the person's hair. b. Cut the person's hair. c. Tell the nurse. d. Shampoo the person's hair.
An individual is ordered 0.125 mg of digoxin. The tablets available are 62.5 mcg in strength. How many tablets should be administered?
a. 2 b. 0.5 c. 20 d. 5