The nurse is assessing a patient's extremity with an arteriovenous graft. The nurse notes a thrill and a bruit, and the patient reports numbness and a cool feeling in the fingers. How does the nurse interpret this information in regard to the graft?
a. The graft is functional and these symptoms are expected
b. The patient has "steal syndrome" and may need surgical intervention
c. The graft is patent. but the blood is flowing in the wrong direction.
d. The patient needs to increase active use of hands and fingers.
Answer: b. The patient has "steal syndrome" and may need surgical intervention
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An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?
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The family of a patient who experienced a stroke after CABG surgery asks the nurse what caused the stroke. What is the nurse's best response?
1. "Stroke is usually caused by a blood clot that breaks loose and travels to the brain.". 2. "Stroke is usually caused by ruptured plaque inside the coronary artery.". 3. "Stroke is caused by heart failure.". 4. "No one knows what causes strokes.".
A client receives succinylcholine for paralysis during an endoscopy. During the procedure, the client's muscles become rigid, and the skin feels hot to the touch. Which effect will the nurse document in the medical record once the client is stabilized?
1. Septicemia 2. Esophageal perforation 3. Hyperthyroid storm 4. Malignant hyperthermia
A patient is scheduled to take the pneumonia vaccination. She has developed nasal congestion and started taking a topical intranasal steroid. The physician might tell the patient which of the following?
A. stop taking the intranasal steroid B. decrease the use of the intranasal steroid C. do not take the pneumonia vaccination D. there is no effect from the two used together