A patient will need vascular access for hemodialysis. Which statement by the nurse accurately describes an advantage of a fistula over a graft?
a. A fistula is much less likely to clot.
b. A fistula increases patient mobility.
c. A fistula can accommodate larger needles.
d. A fistula can be used sooner after surgery.
ANS: A
Arteriovenous (AV) fistulas are much less likely to clot than grafts, although it takes longer for them to mature to the point where they can be used for dialysis. The choice of an AV fistula or a graft does not have an impact on needle size or patient mobility.
You might also like to view...
The nurse sees an older woman with osteoarthritis (OA) and a low-grade fever. The patient tells the nurse that her pain is changing; it is worse at night and in her shoulder muscles. Which of the following does the nurse perform to prevent complications of this patient's condition?
a. Assess her joints for swelling and redness. b. Obtain blood specimens for blood cultures. c. Direct her to report temporal or scalp pain. d. Tell her to apply moist heat for 20 minutes.
A patient comes to the ophthalmology clinic for a follow-up appointment. The nurse suspects that the patient is not compliant with pilocarpine for treatment of open-angle glaucoma. Which finding would support this assumption?
a. The patient has miosis. b. The patient has mydriasis. c. The patient reports that her eyes are sensitive to light. d. The patient reports that her skin is sensitive to the sun.
A nurse is delegating care of postpartum clients to a licensed vocational nurse (LVN). Which postpartum client is at the greatest risk for postpartum bleeding from uterine atony, and should not be delegated to an LVN's care?
1. A breastfeeding postpartum client 2. A postpartum client who began early ambulation 3. The client who delivered vaginally after a prolonged labor 4. A primiparous client
Which theorist believes that health is associated with the degree of congruence between the self as perceived and the self as experienced?
a. Jean Watson b. Martha Rogers c. Florence Nightingale d. Rosemarie Parse