A nurse is palpating the hemodialysis access site and does not feel a "thrill." Which of these steps should the nurse take next?
a. Administer a heparin flush to the cannula.
b. Place an absorbent dressing over the site.
c. Check the site with a Doppler stethoscope to confirm finding.
d. Notify the health care provider.
C
If a "thrill" is not palpated when assessing the hemodialysis access site, the nurse's next action would be to assess with a Doppler stethoscope to confirm finding prior to notifying the physician.
You might also like to view...
The physician has recommended an amniocentesis for an 18-year-old primiparous woman. The patient is 34 weeks' gestation and does not want this procedure. The physician is insistent the patient have the procedure
The physician arranges for the amniocentesis to be performed. The nurse should recognize that the physician is in violation of what ethical principle? A) Veracity B) Beneficence C) Nonmaleficence D) Autonomy
Elevating the head of the bed to the maximum allowed amount of 30 degrees for a patient in balanced suspension traction helps to promote normal elimination by which of the following?
a. Decreasing peristaltic movement b. Promoting contraction of the thigh muscles c. Strengthening the resistance of the internal and external sphincters d. Exerting increased pressure on the rectum
Women in the middle-adult age group are at risk for cancer of the breast and reproductive organs. What health promotion teaching should the nurse provide to clients within this age range?
1. "An annual physical exam is important to detect early signs and symptoms of cancer." 2. "Self-examination of the breast and an annual Pap test are necessary for early detection of cancer." 3. "You need to contact your physician about mammography." 4. "If there is no history of cancer in the women of your family, you need not be concerned."
When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia B) Quaker establishment of asylums C) Creation of the state hospital system D) Freud's views on the causes of mental illnesses