A patient with chronic renal failure has an arteriovenous fistula in her forearm for dialysis access. What intervention or interventions should the nurse make in working with this patient? Select all that apply
A) Take the patient's blood pressure on the forearm containing the fistula.
B) Palpate the fistula for thrill every 8 hours.
C) Draw blood samples from the vein that forms the fistula.
D) Avoid placing any restraints on the access arm.
E) Check access patency less frequently in hypotensive patients.
F) Occlude the fistula vein using firm pressure in the event of postdialysis bleeding from the needle site.
B, D
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The nurse is asked by the parent of a pediatric patient to explain the difference between growth and development. Which response by the nurse is best?
a. "Growth is physical while development relates to physical, emotional, and cognitive function." b. "There really is no difference between the two since they occur simultaneously." c. "Development refers to musculoskeletal and nervous system abilities and growth is a change in height and weight." d. "Both refer to an increase in abilities and functions of the child that occur sequentially over time."
A teenage patient is brought to your hospital by her parents. The patient exhibits unusual behaviors, including illogical thought processes and strange combinations of words that you do not understand
She is wearing dirty clothes and has body odor. The patient also appears to carry on a conversation with a person who is not seen by you. Your first priority for this patient is: A. Have her shower and change clothes. B. Bring her a snack. C. Resocialize her. D. Ensure her safety.
A hospitalized, alcohol-dependent patient believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?
a. Check the patient every 15 minutes. b. One-on-one supervision. c. Keep the room dimly lit. d. Force fluids.
A group of nurses is discussing how to choose a graduate program. Which of the following statements would be helpful to the nurses as they decide on a graduate program? (Select all that apply.)
a. "Look at ACEN or CCNE publications.". b. "List your career goals and decide what educational preparation you would need to reach these goals.". c. "Ask yourself how much time you can spend going to school.". d. "Decide whether you are in a position to relocate if the programs you need are not offered in your area.". e. "Choose a graduate program based on where your friends are going to school.".