The nurse is caring for a patient receiving hemodialysis treatments. The patient has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this patient?
A) Using a stethoscope for auscultating the fistula is contraindicated.
B) The patient feels best immediately after the dialysis treatment.
C) Taking a blood pressure reading on the affected arm can cause clotting of the fistula.
D) The patient shouldn't feel pain during initiation of dialysis.
Ans: C
Feedback: When blood flow is reduced through the access for any reason (hypotension, application of blood pressure cuff or tourniquet), the access can clot. Auscultation of a bruit in the fistula is one way to determine patency. Typically, patients feel fatigued immediately after hemodialysis because of the rapid change in fluid and electrolyte status. Although the area over the fistula may have some decreased sensation, the needle stick is still painful.
You might also like to view...
A nurse is aware of the fact that nonadherence to prescribed therapy is both common and harmful. How can a nurse best promote adherence to therapeutic regimens among patients?
A) Establish a system of rewards and punitive measures that is linked to adherence B) Provide examples of the harmful consequences of nonadherence to therapy C) Help individuals be aware of the benefits of adhering to their prescribed therapy D) Make adherence a requirement for treatment in early interactions with patients
Prepare an 80 mg dose from a label reading 100 mg/5mL
What will be an ideal response?
A healthy 65-year-old African American man comes into the nursing center and states that he wants a general screening recommendation for men in his age group
He tells the nurse that he has taken a part-time job and that his wife wants to make sure that he is healthy enough to do the work. He also says that his wife is nagging him to quit smoking. Following the general screening guidelines, which of the following would be particularly important to assess? A) Blood pressure, weight, cholesterol, diabetes, hearing, osteoporosis, depression, alcohol abuse, violence, and immunizations B) Blood pressure, cholesterol, diabetes, hearing, osteoporosis, depression, alcohol abuse, violence, and immunizations C) Cholesterol, diabetes, hearing, osteoporosis, depression, alcohol use, violence, and immunizations D) Blood pressure, weight, cholesterol, diabetes, hearing, and osteoporosis
A 49-year-old male presents reporting chest pain. EKG reveals ST elevation. He is diagnosed with myocardial ischemia. Which of the following interventions would be most beneficial?
a. Administer a diuretic to decrease volume. b. Apply oxygen to increase myocardial ox-ygen supply. c. Encourage exercise to increase heart rate. d. Give an antibiotic to decrease infection.