When assessing the client's AV fistula, the nurse notes vibration at the fistula site. How should the nurse respond to this finding?
A. Contact the health care provider.
B. Ask the client how long this has occurred.
C. Determine when the fistula was placed.
D. Document the finding.
Answer: D
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A nurse assesses a client who is recovering from a Whipple procedure. Which clinical manifestations alert the nurse to a complication from this procedure? (Select all that apply.)
a. Clay-colored stools b. Substernal chest pain c. Shortness of breath d. Lack of bowel sounds or flatus e. Urine output of 20 mL/6 hr
Administrators of a hospital are considering a fundamental reorganization of the way that care is provided. Nurses and administrators alike should be aware that
A) small incremental changes over several years are preferable to a rapid larger change. B) changes to the way that nursing is organized can have profound effects on patient safety. C) every time that nursing delivery models change there is an increase in health care costs. D) it is normally best to maintain the present situation than introduce change.
Gerry has learned during his yearly physical, he has a cerebral aneurysm. He comes to you, the clinical educator, for more information
a. What are the dangers of cerebral aneurysms? b. What causes them, and what are the symptoms, if any? c. Where they are most likely to occur? d. What type of treatment is likely?
The nurse introduces herself and shakes the patient's hand, then sits so that eye contact can be maintained during the health interview. The nurse's actions demonstration which of the following?
1. Positive nonverbal messages 2. Negative nonverbal messages 3. Empathy 4. Facilitation